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신장이식 환자에서 발생한 급성 충수염의 임상적 특징

Other Titles
 Clinical Characteristics of Acute Appendicitis in Kidney Transplant Recipients 
Authors
 이한희  ;  이정준  ;  주만기  ;  김명수  ;  허규하  ;  윤의상  ;  주동진  ;  김수진  ;  김순일  ;  김유선 
Citation
 Journal of the Korean Society for Transplantation (대한이식학회지), Vol.23(3) : 233-236, 2009 
Journal Title
 Journal of the Korean Society for Transplantation (대한이식학회지) 
ISSN
 1298-1711 
Issue Date
2009
Keywords
Acute appendicitis ; Kidney transplantation ; Acute abdomen
Abstract
Background: Appendicitis is a common surgical disease. There are many problems for the early diagnosis of acute appendicitis in kidney transplant patients; differential diagnosis for acute rejection, limitation in imaging study, problems of immunosuppressant and non-characteristic symptoms. Methods: We reviewed medical records and transplant database of 2,947 renal transplant patients between April, 1979 and September, 2009 retrospectively. Patient`s characteristics, diagnostic methods for appendicitis and operative/postoperative progresses were analyzed. Results: Of the 2,947 renal transplant patients, there were 15 (0.51%, 13 males and 2 females) acute appendicitis patients. Mean age at the diagnosis of appendicitis was 37.2±10.1 years. Fourteen (93.3%) patients suffered from prodromal symptom, such as abdominal pain, direct or rebound tenderness, nausea and vomiting. There were 12 (80%) patients with leukocytosis (WBC count >10,000/μL). Computed tomography scans were performed in 5 (33.4%) patients for diagnosis. Laparoscopic appendectomies were applied for 8 (53.4%) patients. In pathologic diagnosis, 2 cases were reported as `non pathologic diagnosis` complications occurred in 2 patients as remnant appendicitis and pancreatitis. However, there was no patient with mortality and renal failure during the hospitalization. Conclusions: There were no significant differences between the transplant patients and the general population in the incidence, clinical features, diagnosis and postoperative progresses of acute appendicitis.
Files in This Item:
T200905329.pdf Download
DOI
10.4285/jkstn.2009.23.3.233
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Myoung Soo(김명수) ORCID logo https://orcid.org/0000-0002-8975-8381
Kim, Soo Jin(김수진)
Kim, Soon Il(김순일) ORCID logo https://orcid.org/0000-0002-0783-7538
Kim, Yu Seun(김유선) ORCID logo https://orcid.org/0000-0002-5105-1567
Yoon, Eyi Sang(윤의상)
Lee, Jung Jun(이정준)
Joo, Dong Jin(주동진) ORCID logo https://orcid.org/0000-0001-8405-1531
Joo, Man Ki(주만기) ORCID logo https://orcid.org/0000-0002-4112-7003
Huh, Kyu Ha(허규하) ORCID logo https://orcid.org/0000-0003-1364-6989
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105846
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