Malatya Turgut Özal University Training and Research Hospital, Malatya, Turkey.
Eur Rev Med Pharmacol Sci. 2021 Dec;25(24):7898-7902. doi: 10.26355/eurrev_202112_27639.
Chronic appendicitis (CA) is a rare medical condition. CA is characterized by a less severe and almost continuous abdominal pain. It has a clinical picture lasting longer than 1-2 days and extending over weeks, months, even years. The exact etiology of CA is unclear. Certain resources have reported it as the cause of partial obstruction in the lumen of the appendix.
Our study was carried out with the approval of the Clinical Research Ethics Committee. A retrospective analysis was performed between August 2018 and March 2020.
It was determined that 207 appendectomies were performed during the retrospective scan period. The data of 182 of these patients could be accessed fully and we could get answers to the criteria we thought. Only 8 of the patients screened were likely to be diagnosed with chronic appendicitis in the preoperative period. CA was found in 1 of the 8 patients (12.5%) who underwent surgery after a preliminary diagnosis of CA. Two patients were reported as malignant (25%), 3 patients (37.5%) as reactive lymphoid hyperplasia, and 1 patient as peri appendicitis (12.5%). Bleeding and congestion were reported in the last patient (12.5%).
The diagnosis of chronic appendicitis is made by pathological examination. It may not always be possible to consider "chronic appendicitis" as a preliminary diagnosis. This should still be kept in mind. In our opinion, it is a bit difficult to make a preliminary diagnosis of chronic appendicitis and make a surgical decision. We believe that controlled and prospective studies can shed more light on chronic appendicitis.
慢性阑尾炎（CA）是一种罕见的医学病症。CA 的特征是腹痛程度较轻且几乎持续存在。其临床表现持续时间超过 1-2 天，并延伸至数周、数月甚至数年。CA 的确切病因尚不清楚。某些资源报道其为阑尾管腔部分阻塞的原因。
我们的研究获得了临床研究伦理委员会的批准。在 2018 年 8 月至 2020 年 3 月期间进行了回顾性分析。
在回顾性扫描期间确定进行了 207 例阑尾切除术。这些患者中有 182 名患者的资料可以完全访问，并且我们可以回答我们认为的标准。仅在术前初步诊断为 CA 的 8 名患者中筛选出 8 名可能被诊断为慢性阑尾炎的患者。在初步诊断为 CA 后接受手术的 8 名患者中发现 1 例 CA（12.5%）。2 例患者报告为恶性（25%），3 例患者（37.5%）为反应性淋巴组织增生，1 例患者为阑尾周围炎（12.5%）。最后一名患者（12.5%）报告有出血和充血。
慢性阑尾炎的诊断通过病理检查确定。不一定总能将“慢性阑尾炎”作为初步诊断。这一点仍应牢记。在我们看来，对慢性阑尾炎进行初步诊断并做出手术决定有点困难。我们认为，对照和前瞻性研究可以更深入地了解慢性阑尾炎。
