Chen S C, Chang K J, Wei T C, Yu S C, Wang S M
Department of Surgery, National Taiwan University Hospital, Taipei, R.O.C.
J Formos Med Assoc. 1994 Mar;93(3):263-5.
Cecal diverticulitis is a rare disease entity, the diagnosis of which remains a difficult problem. The clinical picture of cecal diverticulitis is almost indistinguishable from acute appendicitis. We reviewed 11 cases of pathologically documented cecal diverticulitis who underwent treatment from May 1981 to April 1992. They were diagnosed incorrectly as acute appendicitis, ruptured appendicitis or appendiceal abscess prior to operative intervention. Thirty patients diagnosed correctly with acute appendicitis from March 1992 to April 1992 were included for a comparative study. We found that cecal diverticulitis presented with a longer duration of symptoms, initial pain over the right lower quadrant of the abdomen, older age, less migration of pain, nausea, vomiting, fever and leukocytosis, and an incidence of Alvarado's score > or = 7 than acute appendicitis.
盲肠憩室炎是一种罕见的疾病实体，其诊断仍然是一个难题。盲肠憩室炎的临床表现几乎与急性阑尾炎无法区分。我们回顾了1981年5月至1992年4月期间接受治疗的11例经病理证实的盲肠憩室炎病例。在手术干预前，他们被错误地诊断为急性阑尾炎、阑尾破裂或阑尾脓肿。纳入了1992年3月至1992年4月期间30例被正确诊断为急性阑尾炎的患者进行对照研究。我们发现，与急性阑尾炎相比，盲肠憩室炎的症状持续时间更长，初始疼痛位于右下腹，患者年龄更大，疼痛转移较少，伴有恶心、呕吐、发热和白细胞增多，且阿尔瓦拉多评分≥7分的发生率更高。
