Misdiagnosed as acute appendicitis in 10 cases of experience.docVIP

 PAGE \* MERGEFORMAT 7 Misdiagnosed as acute appendicitis in 10 cases of experience Of: Cao Dachun, Tongyu Lin, Xiao Kemin [Abstract] Objective To investigate the reasons for misdiagnosed as acute appendicitis and preventive measures. Methods From August 2008 to May 2009 136 patients admitted to hospital diagnosis of acute appendicitis and surgery on the clinical data. The results showed that 10 cases misdiagnosed as acute appendicitis, misdiagnosis rate was 7.4%. Conclusions are many reasons for misdiagnosis, history taking is not comprehensive, not detailed, clinical inexperience, fatigue and so on. [Keywords:] acute appendicitis; misdiagnosis; preventive measures Acute appendicitis is a common acute abdomen is one of the other diseases are often misdiagnosed as acute appendicitis. This group is from August 2008 to May 2009 136 patients admitted to acute appendicitis were retrospectively analyzed to be misdiagnosed as acute appendicitis in 10 cases, the misdiagnosis rate of 7.4%, now is as follows misdiagnosis. 1 Clinical data 10 cases of misdiagnosed cases, the ileocecal intestinal tuberculosis in 1 case; 3 cases of acute mesenteric lymphadenitis; superior mesenteric vein thrombosis in 2 cases; gastric ulcer perforation in 1 case; acute gangrenous cholecystitis in 1 case; necrosis of the right fallopian tube torsion in 1 case; left side of the middle of salpingitis and abscess in 1. which changed ulcer perforation in the abdominal incision surgery, and acute gangrenous cholecystitis change surgery under the right costal margin incision, superior mesenteric vein thrombosis in 1 patient and small bowel necrosis in patients abandon treatment outside hospital The remaining 9 cases misdiagnosed cases were cured. 2 Discussion 2.1 Misdiagnosis of appendicitis misdiagnosed in the cases, although some diseases such as Meckel diverticulitis, mesenteric lymph nodes go far in the identification of true appendicitis before surgery is difficult, bu