Korean J Gastrointest Endosc > Volume 38(4); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(4): 234-236.
대장내시경으로 진단한 급성 충수돌기염 1예
김은영ㆍ차재명ㆍ이정일ㆍ주광로ㆍ정성원ㆍ신현필ㆍ허우영
경희대학교 의과대학 내과학교실
A Case of Acute Appendicitis Diagnosed by Colonoscopy
Eun Young Kim, M.D., Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Sung Won Jung, M.D., Hyun Phil Shin, M.D. and Woo Young Hew, M.D.
Department of Internal Medicine, Kyunghee University College of Medicine, Seoul, Korea
Abstract
Most patients with acute appendicitis have typical symptoms and physical examination findings, yet some patients may have an atypical clinical presentation that is indistinguishable from other alternative conditions that are included in the differential diagnosis. The clinical role of colonoscopy for the diagnosis of acute appendicitis in these patients has not been investigated. Here, we describe the case of a 44-year-old man with acute appendicitis that was diagnosed with colonoscopy, which was performed 8 days after the development of abdominal pain, and colonoscopy demonstrated the frank pus drainage from the appendiceal orifice. An emergency laparoscopic partial cecectomy with an appendectomy was performed based on the colonoscopy findings. The microscopic findings were consistent with an acute suppurative appendicitis with periappendiceal adhesions, dense fibrosis and inflamed granulation tissue. This case highlights that timely colonoscopy may be helpful for the confirmation or exclusion of appendicitis when the clinical presentation is atypical. (Korean J Gastrointest Endosc 2009;38:234-236)
Key Words: Appendicitis, Colonoscopy, Diagnosis
주요어: 충수돌기염, 대장내시경, 진단
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Share:      
METRICS
2,468
View
24
Download
Related articles
A Case of Primary Small Bowel Melanoma Diagnosed by Single-Balloon Enteroscopy  2017 July;50(4)
A Case of Duodenal Duplication Cyst Manifested by Duodenal Polyp  2012 November;45(4)
Adult Intussusception Caused by an Appendiceal Mucocele and Reduced by Colonoscopy  2011 December;44(2)
A Case of Steroid Treated Amebic Colitis Misdiagnosed as Eosinophilic Colitis  2011 July;43(1)
Colonoscopic Perforation During a Diagnostic Colonoscopy  2011 May;42(5)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro (LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: CE@gie.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer