A Clinical Study of Acute Colonic Diverticulitis in Children.
- Author:
Jae Hoon SIM
1
;
Keum Ho SONG
;
Yun Jung SIM
;
Do Jun CHO
;
Dug Ha KIM
;
Ki Sik MIN
;
Ki Yang YOO
;
Hae Ran LEE
;
Kwan Seop LEE
Author Information
1. Department of Pediatrics, College of Medicine, Hallym University, Chunchon, Korea. ksmin@hallym.or.kr
- Publication Type:Original Article
- Keywords:
Diverticulitis;
Colon;
Appendicitis;
Child
- MeSH:
Anti-Bacterial Agents;
Appendicitis;
Child*;
Colon*;
Diagnosis;
Diverticulitis;
Diverticulitis, Colonic*;
Follow-Up Studies;
Humans;
Recurrence
- From:Journal of the Korean Pediatric Society
2003;46(11):1095-1100
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Children with acute colonic diverticulitis(ACD), can be misdiagnosed with acute appendicitis. METHODS: We reviewed 15 cases of ACD during five years, from January 1998 to June 2002 retro spectively. RESULTS: Most patients(80%) with ACD in children presented with right lower quadrant pain. The primary diagnosis on admission was mostly acute appendicitis(87%), and all ACD in children occurred in the right colon. Fourteen patients were managed by conservative treatment including antibiotics. A follow-up study was performed in 15 patients. There were symptomatic recurrences in two patients, but no significant complication was noted. The frequency of ACD was 11.7 per 1000 acute appendicitis. CONCLUSION: ACD in children can mostly be cured by conservative treatment. It is prudent to choose the management through the diagnostic work up, including abdominal sonography and computed tomography, because there was no significant difference of clinical findings between ACD and acute appendicitis.
