Department of General Surgey, School of Medicine, Bozok University, Yozgat, Turkey.
Department of Radiology, School of Medicine, Bozok University, Yozgat, Turkey.
Surg Radiol Anat. 2020 Apr;42(4):437-441. doi: 10.1007/s00276-019-02392-8. Epub 2019 Nov 28.
One of the most widespread surgical conditions is acute appendicitis in industrialized countries. Nevertheless, diagnosis of borderline cases is mostly troublesome and needs subsequent researches. For this reason, we aimed to investigate new parameters to improve estimation of acute appendicitis. Lymphoid hyperplasia, impacted stool, faecolith, caecal or appendiceal tumors have been accepted as causes of appendicitis formation, but anatomic variations of diameter of ileocecal lipomatosis and ileocecal angle have been never discussed before. The aim of this study was to assess the relationship between appendicitis and diameter of ileocecal lipomatosis and ileocecal angle.
96 Patients (51 women, 45 men) who were found to have acute appendicitis during exploration and 67 patients (32 women, 35 men) who were not pre-diagnosed with acute appendicitis were enrolled in the study. The diameter of ileocecal lipomatosis and also ileocecal angle values were obtained via computed tomography (CT) scans.
There were no significant differences between two groups in the mean of ileocecal angle (p > 0.05) but diameter of ileocecal lipomatosis values was significantly higher in the appendicitis-positive group compared with the appendicitis-negative group (p: 0.001).
There is a relationship between increase in diameter of ileocecal lipomatosis and appendicitis formation.
在工业化国家，急性阑尾炎是最常见的外科病症之一。然而，对于边界病例的诊断大多比较棘手，需要进一步研究。出于这个原因，我们旨在寻找新的参数来提高对急性阑尾炎的评估。淋巴组织增生、嵌塞粪便、粪石、盲肠或阑尾肿瘤已被认为是阑尾炎形成的原因，但人们从未讨论过回盲瓣脂肪瘤和回盲部角度的直径解剖变异。本研究旨在评估阑尾炎与回盲瓣脂肪瘤和回盲部角度的直径之间的关系。
96 名（女 51 名，男 45 名）在探查时发现患有急性阑尾炎的患者和 67 名（女 32 名，男 35 名）术前未诊断为急性阑尾炎的患者被纳入本研究。通过计算机断层扫描（CT）获得回盲瓣脂肪瘤的直径和回盲部角度值。
两组间回盲部角度的平均值无显著差异（p＞0.05），但阑尾炎阳性组的回盲瓣脂肪瘤直径明显高于阑尾炎阴性组（p：0.001）。
回盲瓣脂肪瘤直径的增加与阑尾炎的形成有关。
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