Misdiagnosis of appendicitis in 2 cases of ectopic.doc

 PAGE \* MERGEFORMAT 6 Misdiagnosis of appendicitis in 2 cases of ectopic [Keywords:] Misdiagnosis of ectopic appendicitis Appendicitis is one of the most common disease surgery, can occur at any age. Appendiceal position, and more in the right iliac fossa, the roots are more fixed, the surface projection of the point is equivalent to Mak’s point, therefore, often encountered in clinical appendicitis, according to the symptoms and signs, combined with body temperature and blood, generally is not difficult to make a correct diagnosis. but there are individual appendicitis, for various reasons, brought to the clinical diagnosis difficult, prone to misdiagnosis. A case report Example 1: Male, 56 years old. Because of right upper quadrant pain and ipsilateral lower back pain one day and treatment. Examination: right upper quadrant tenderness, no rebound tenderness and muscle tension, pain in right kidney area percussion. B-show within the right kidney round tumor shadow. patient with “renal cyst complicated with acute infection,” income to hospital. hospital the gradual emergence of diffuse peritonitis and toxic shock, such as performance, suspected cyst rupture into the abdominal cavity, 3 days after admission, emergency surgical exploration, intraoperative found in the right abdominal adhesions severe congestion and edema of the bowel. After separation of adhesions found in the right upper quadrant cecum, appendix, under the peritoneum in the liver, has been perforated ulcers leaving only a stump, right kidney area was normal. diagnosis of hepatic necrosis following extraperitoneal appendicitis. to place the drainage of the appendix stump embedding, the abdomen was closed. postoperatively, there multiple intestinal fistula, and treatment of patients were discharged more than a month. Example 2: Male, 26 years old. For a long time on the abdominal pain, right lower abdominal pain admitted to hospital with high fever for two days. Checkup: T3