Diagnosis and treatment of retroperitoneal appendicitis.docVIP

 PAGE \* MERGEFORMAT 8 Diagnosis and treatment of retroperitoneal appendicitis [Keywords:] retroperitoneal appendicitis; surgical treatment Retroperitoneal appendicitis as the appendix is located in the retroperitoneal lesion, its symptoms and signs are not typical, clinical diagnosis is difficult. In this paper, in our hospital from June 1998 to June 2009 of 23 cases between the clinical manifestation of retroperitoneal appendicitis and surgical data were analyzed designed to increase awareness of retroperitoneal appendicitis. Clinical data 1. General Information The group of 23 patients, 15 males and 8 females, aged from 15 to 57 years, mean 35 years. Onset to the operation time was 2 ~ 96 h. hospitalization for 6 to 12 days, an average of 8 days. Acute 9 cases of simple appendicitis, suppurative appendicitis in 6 cases, 5 cases of gangrenous appendicitis, the appendix with retroperitoneal abscess in 3 cases. 2. Clinical history of right lower abdominal pain in 16 patients with lower back pain, simply right lower abdominal pain in 5 cases, 13 cases of metastatic right lower abdominal pain. With nausea, vomiting, loss of appetite in 20 cases, 5 cases of urinary urgency. Are fixed right lower quadrant tenderness, rebound tenderness, muscle health was in 5 cases, psoas sign positive in 21 cases, 9 cases of right lower lumbar percussion pain. temperature 37.8 ~ 39.4 , 15 casesgt; 38.5 . 3. Laboratory WBCgt; 15 109 / L in 15 patients, neutrophilsgt; 0.80, 20 cases; urine red blood cells and white blood + ~ + + in 5 cases; 14 cases of preoperative B-ultrasound. 4. Surgical condition and results of patients were in hospital emergency line within 2 h after appendectomy, McNamara incision in 16 cases, 4 cases of rectus abdominis incision in the side, the rectus abdominis incision in 3 cases, of which 12 cases of intraoperative incision extended. Cut open side of the peritoneum and then remove the appendix in 18 cases; open the peritoneal sac, re