Mekel diverticulitis misdiagnosed as acute appendicitis in 7 cases and literature review
10.3760/cma.j.issn.1008-6706.2017.14.022
- VernacularTitle:Mekel憩室炎误诊为急性阑尾炎七例临床分析
- Author:
Jun WANG
;
Xiuling ZHU
;
Yumin LIU
- Keywords:
Diverticulitis;
Appendicitis;
Diagnostic errors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(14):2160-2162
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical features of Mekel diverticulitis,and to improve the cognition rate and diagnosis rate of the disease.Methods The clinical data of 7 patients with Mekel diverticulitis misdiagnosed as acute appendicitis were retrospectively analyzed,and the related literature was reviewed.Results 7 cases of Mekel diverticulitis were misdiagnosed as acute appendicitis before surgery,all corrected diagnosis and operation.One case of mild incision infection after surgery,the remaining 6 cases did not appear complications.After treatment were cured after 7-12d discharged.Conclusion Mekel diverticulitis is lack of specific clinical manifestations and effective auxiliary examination method,easily misdiagnosed as acute appendicitis,when the clinical manifestations of appendicitis is not typical,need to further analysis,identification;when the surgery found appendix lesions are not coincide with clinical practice,the distal ileum should be routinely probed to determine the presence of Meckel diverticulitis.
