Akhavizadegan Hamed
Urology Department, Baharloo Hospital, Tehran University of Medical Sciences, Behdari Street, Rahahan Square, Tehran 1339973111, Iran.
Case Rep Urol. 2012;2012:571037. doi: 10.1155/2012/571037. Epub 2012 Dec 26.
Appendicitis, a common disease, has different presentations. This has made its diagnosis difficult. This paper aims to present two cases of missed appendicitis with completely urologic presentation and the way that helped us to reach the correct diagnosis. The first case with symptoms fully related to kidney and the second mimicking epididymorchitis hindered prompt diagnosis. Right site of the pain, relapsing fever, frequent physical examination, and resistance to medical treatment were main clues which help us to make correct diagnosis.
阑尾炎是一种常见疾病，有不同的表现形式。这使得其诊断变得困难。本文旨在介绍两例以完全泌尿系统症状表现而被漏诊的阑尾炎病例，以及帮助我们做出正确诊断的方法。第一例症状与肾脏完全相关，第二例类似附睾炎，这两例都阻碍了及时诊断。疼痛的正确部位、反复发热、频繁体格检查以及对药物治疗无反应是帮助我们做出正确诊断的主要线索。
