Clinical Characteristics of Acute Appendicitis in Kidney Transplant Recipients / 대한이식학회지
The Journal of the Korean Society for Transplantation
;
: 233-236, 2009.
Article
in Korean
| WPRIM
| ID: wpr-155420
ABSTRACT
BACKGROUND:
Appendicitis is a common surgical disease. There are many problems for the early diagnosis of acute appendicitis in kidney transplant patients; differential diagnosis for acute rejection, limitation in imaging study, problems of immunosuppressant and non-characteristic symptoms.METHODS:
We reviewed medical records and transplant database of 2,947 renal transplant patients between April, 1979 and September, 2009 retrospectively. Patient's characteristics, diagnostic methods for appendicitis and operative/postoperative progresses were analyzed.RESULTS:
Of the 2,947 renal transplant patients, there were 15 (0.51%, 13 males and 2 females) acute appendicitis patients. Mean age at the diagnosis of appendicitis was 37.2+/-10.1 years. Fourteen (93.3%) patients suffered from prodromal symptom, such as abdominal pain, direct or rebound tenderness, nausea and vomiting. There were 12 (80%) patients with leukocytosis (WBC count >10,000/microliter). Computed tomography scans were performed in 5 (33.4%) patients for diagnosis. Laparoscopic appendectomies were applied for 8 (53.4%) patients. In pathologic diagnosis, 2 cases were reported as 'non pathologic diagnosis' complications occurred in 2 patients as remnant appendicitis and pancreatitis. However, there was no patient with mortality and renal failure during the hospitalization.CONCLUSIONS:
There were no significant differences between the transplant patients and the general population in the incidence, clinical features, diagnosis and postoperative progresses of acute appendicitis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatitis
/
Appendectomy
/
Appendicitis
/
Rejection, Psychology
/
Vomiting
/
Abdominal Pain
/
Medical Records
/
Incidence
/
Retrospective Studies
/
Kidney Transplantation
Type of study:
Diagnostic study
/
Incidence study
/
Observational study
/
Prognostic study
/
Screening study
Limits:
Humans
/
Male
Language:
Korean
Journal:
The Journal of the Korean Society for Transplantation
Year:
2009
Type:
Article
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