Clinical Characteristics of Acute Appendicitis in Kidney Transplant Recipients / 대한이식학회지
The Journal of the Korean Society for Transplantation
; : 233-236, 2009.
Article
em Ko
| WPRIM
| ID: wpr-155420
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pancreatite
/
Apendicectomia
/
Apendicite
/
Rejeição em Psicologia
/
Vômito
/
Dor Abdominal
/
Prontuários Médicos
/
Incidência
/
Estudos Retrospectivos
/
Transplante de Rim
Tipo de estudo:
Diagnostic_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Humans
/
Male
Idioma:
Ko
Revista:
The Journal of the Korean Society for Transplantation
Ano de publicação:
2009
Tipo de documento:
Article