Right colon cancer with acute appendicitis combined analysis of 16 patients with clinical diagnosis.docVIP

 PAGE \* MERGEFORMAT 5 Right colon cancer with acute appendicitis combined analysis of 16 patients with clinical diagnosis Acute appendicitis is a common disease surgery, ranking the first in a variety of acute abdomen. However, changing the condition of acute appendicitis, diagnosis is relatively difficult. The colon cancer is a common gastrointestinal malignancy, often misdiagnosed. Now nearly 8 years in our hospital was diagnosed as acute appendicitis complicated with right colon cancer after diagnosis and treatment of 16 cases reported as follows. A clinical data 16 cases in this group, 10 males and 6 females. Aged 18 to 68 years old, with an average 43-year-old. There is classic right lower quadrant pain in metastatic and 12 cases, right lower quadrant tenderness fixity 14 cases, there were 12 cases of rebound tenderness, palpation palpable mass in 4 cases. Check the white blood cell blood count more than 10 * 109 / L in 16 patients. B ultrasonic examination prompted for appendiceal abscess in 4 cases. Admission diagnosis of acute appendicitis in 12 cases, appendiceal abscess in 4 cases. 12 cases of acute appendicitis with emergent surgery, patients are found in the appendix varying degrees of inflammation. 8 were found in the appendix surgery immediately or the ascending colon with cancer. 3 cases of abdominal pain after appendectomy persisted, and the emergence of mucous or bloody mucus, are within 3 months after operation for barium enema radiography or colonoscopy examination revealed l colon cancer. 1 cases of postoperative bowel obstruction occurred in February-line laparotomy was found l colon cancer. 4 cases of appendiceal abscess in 3 cases of anti-infective therapy 5 ~ 10d, abdominal pain reduced, mass narrowing the obvious, by the air-barium colonography to be re-diagnosed as colon cancer surgery, postoperative pathological examination results for the colon adenocarcinoma and gangrenous appendicitis . The other one cases of abdominal pain sym