Clinical Difference between Acute Appendicitis and Acute Right-Sided Colonic Diverticulitis
Joint Authors
Song, Ji Ho
Kim, Yong Won
Do, Han Ho
Seo, Jun Seok
Lee, Jeong Hun
Lee, Seung Chul
Lee, Sanghun
Source
Emergency Medicine International
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-01
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Clinical presentations of acute appendicitis (AA) and acute right-sided colonic diverticulitis (ARCD) are similar.
However, the usual treatment for each disease differs between surgical and conservative management.
The aim of this study was to identify clinical differences between AA and ARCD.
Method.
We performed a single-center retrospective study on adult patients, with uncomplicated AA and ARCD confirmed by computed tomography, who visited an emergency department between March 2018 and August 2019.
Clinical variables including past medical history, presented symptoms and signs, and laboratory findings were compared between the two groups.
A logistic regression analysis was subsequently performed to differentiate ARCD from AA based on results of univariate analyses.
Results.
A total of 212 (79.1%) and 56 (20.9%) patients were enrolled in AA and ARSD groups, respectively.
Logistic regression analysis revealed that a past history of diverticulitis [OR: 102.679 (95% CI: 9.964–1058.055), p<0.001] was associated with ARCD, while ketonuria [OR: 2.907 (95% CI: 1.091–7.745), p=0.033], anorexia [OR: 21.544 (95% CI: 3.905–118.868), p<0.001], and neutrophilia [OR: 3.406 (95% CI: 1.243–9.336), p=0.017] were associated with AA.
Conclusion.
Anorexia, neutrophilia, and ketonuria were predictors of AA while a history of diverticulitis was a predictor of ARCD.
American Psychological Association (APA)
Song, Ji Ho& Kim, Yong Won& Lee, Sanghun& Do, Han Ho& Seo, Jun Seok& Lee, Jeong Hun…[et al.]. 2020. Clinical Difference between Acute Appendicitis and Acute Right-Sided Colonic Diverticulitis. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1159035
Modern Language Association (MLA)
Song, Ji Ho…[et al.]. Clinical Difference between Acute Appendicitis and Acute Right-Sided Colonic Diverticulitis. Emergency Medicine International No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1159035
American Medical Association (AMA)
Song, Ji Ho& Kim, Yong Won& Lee, Sanghun& Do, Han Ho& Seo, Jun Seok& Lee, Jeong Hun…[et al.]. Clinical Difference between Acute Appendicitis and Acute Right-Sided Colonic Diverticulitis. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1159035
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159035