Clinical Features of Appendiceal Mucocele Diagnosed Preoperatively as Acute Appendicitis
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- Ishino Shinichiro
- Department of Surgery, Nakagami Hospital
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- Sunagawa Hiroki
- Department of Surgery, Nakagami Hospital
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- Orokawa Tomofumi
- Department of Surgery, Nakagami Hospital
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- Mayama Yasuaki
- Department of Surgery, Nakagami Hospital
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- Kakazu Osamu
- Department of Surgery, Nakagami Hospital
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- Kaneshiro Tatsuya
- Department of Surgery, Nakagami Hospital
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- Inamine Susumu
- Department of Surgery, Nakagami Hospital
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- Toyama Tetsuo
- Department of Surgery, Nakagami Hospital
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- Zaha Hisamitsu
- Department of Surgery, Nakagami Hospital
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- Oshiro Naoto
- Department of Surgery, Nakagami Hospital
Bibliographic Information
- Other Title
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- 虫垂炎の診断にて虫垂切除を行った虫垂粘液囊腫の検討
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Abstract
Background:Appendiceal mucocele is usually diagnosed preoperatively as appendicitis, and an additional procedure is sometimes required. This study evaluated clinical differences between appendiceal mucocele and appendicitis in patients diagnosed with appendicitis preoperatively.Materials and Methods:Participants comprised 937 patients with a preoperative diagnosis of appendicitis who underwent appendectomy between January 2002 and May 2011. Ten patients were subsequently diagnosed with appendiceal mucocele, while appendicitis was confirmed in the remaining cases. Various clinical factors were compared between these two groups.Results:Patient age and preoperative C-reactive protein (CRP) level were significantly higher in the mucocele group than in the appendicitis group. Preoperative white blood cell (WBC) count was lower in the mucocele group than in the appendicitis group. Both maximum diameter of the appendix on imaging and the proportion of cases with abscess were higher in the mucocele group.Conclusion:Clinical factors such as age, preoperative WBC count and CRP level, maximum diameter of the appendix, and proportion of cases with abscess may help to diagnose appendiceal mucocele. Careful examination and procedures are desirable if appendiceal mucocele is suspected.
Journal
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- Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
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Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) 38 (4), 732-737, 2013
Japanese College of Surgeons
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Details 詳細情報について
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- CRID
- 1390282679320748160
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- NII Article ID
- 10031201404
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- NII Book ID
- AN00002502
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- ISSN
- 18829112
- 03857883
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed