Full metadata record
DC Field | Value | Language |
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dc.contributor.author | 한지원 | - |
dc.date.accessioned | 2023-01-18T16:32:48Z | - |
dc.date.available | 2023-01-18T16:32:48Z | - |
dc.date.issued | 2023 | - |
dc.identifier.issn | 2288-6575 | - |
dc.identifier.other | OAK-32884 | - |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/263825 | - |
dc.description.abstract | Purpose: Appendectomy is one of the most common surgeries in children. Although various radiological examinations are performed, they do not always reveal a definitive diagnosis of appendicitis. This study aimed to investigate the clinical course of equivocal appendicitis, identify the factors associated with appendectomy, and suggest appropriate management for these patients. Methods: Patients younger than 19 years who visited Seoul National University Bundang Hospital with a differential diagnosis of appendicitis from January 2013 to December 2017 were included. All participants conducted ‘appendiceal CT’ with a scoring scale of 1–5. The higher the score, the higher the likelihood of a radiologic diagnosis of appendicitis. We defined the appendicitis CT score of 2–4 as equivocal appendicitis (n = 143). Medical records were reviewed retrospectively for demographics, further examination as abdominal ultrasonography, and appendectomy status (yes or no). The mean follow-up period was 15.6 ± 71 days. Results: Equivocal appendicitis accounted for 16.7%. Additional ultrasonography test was performed in 24.5% (35 of 143). In total, 34 patients (23.8%) underwent appendectomy. Among the patients with appendiceal CT scores 2, 3, and 4, 4.9%, 50.0%, and 87.5% underwent appendectomy, respectively. Higher WBC count, higher appendicitis CT score, and readmission were significantly associated with appendectomy in patients with equivocal appendicitis. Conclusion: Higher appendicitis CT score and WBC level were positively associated with appendectomy. Careful observation can be a treatment option in appendicitis CT score 2 or 3 groups. Appendectomy is the first-line treatment for patients with appendicitis score 4. Additional ultrasonography test is advisable to determine treatment modality for equivocal appendicitis. Copyright © 2023, the Korean Surgical Society. | - |
dc.language | English | - |
dc.publisher | Korean Surgical Society | - |
dc.subject | Appendectomy | - |
dc.subject | Appendicitis | - |
dc.subject | Computed tomography | - |
dc.subject | Pediatrics | - |
dc.subject | Surgery | - |
dc.title | Clinical course in children with equivocal appendicitis on computed tomography: a retrospective cohort study | - |
dc.type | Review | - |
dc.relation.issue | 1 | - |
dc.relation.volume | 104 | - |
dc.relation.index | SCIE | - |
dc.relation.index | SCOPUS | - |
dc.relation.index | KCI | - |
dc.relation.startpage | 51 | - |
dc.relation.lastpage | 59 | - |
dc.relation.journaltitle | Annals of Surgical Treatment and Research | - |
dc.identifier.doi | 10.4174/astr.2023.104.1.51 | - |
dc.identifier.scopusid | 2-s2.0-85145827596 | - |
dc.author.google | Yang H.-B. | - |
dc.author.google | Song H.-B. | - |
dc.author.google | Han J.-W. | - |
dc.author.google | Youn J.K. | - |
dc.author.google | Ko D. | - |
dc.author.google | Ryu Y.J. | - |
dc.author.google | Kim J.Y. | - |
dc.author.google | Kim H.-Y. | - |
dc.contributor.scopusid | 한지원(57192155212) | - |
dc.date.modifydate | 20230127145323 | - |