Ostropol'skaia E A, Osipov I B, Mirdzhanov K
Vestn Khir Im I I Grek. 1978 Mar;120(3):100-4.
34 children with congenital hydronephrosis, operated upon for erroneosly diagnosed acute appendicitis (17), malignant tumor (11), and ileus (8), were under observation. To prevent from unwarranted surgical interventions in dubious cases excretory urography and other x-ray and instrumental methods of examination must be used widely. After the removal of an unchanged vermiform process in children, suffering from abdominal pain, the examination of the urinary tract is indicated. Such patients should be under dispensary observation of a children's surgeon.
34例先天性肾积水患儿因被误诊为急性阑尾炎(17例)、恶性肿瘤(11例)和肠梗阻(8例)而接受了手术,目前正在接受观察。为防止在可疑病例中进行不必要的外科干预,必须广泛使用排泄性尿路造影及其他X线和器械检查方法。在切除无病变的阑尾后,对腹痛患儿应进行尿路检查。此类患者应由儿童外科医生进行门诊观察。