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Perforation of the sigmoid colon simulating acute appendicitis.
Isr J Med Sci. 1980 Sep-Oct; 16(9-10):646-8.IJ

Abstract

Diverticulitis and carcinoma with abscess formation following perforation of the redundant sigmoid colon was erroneously diagnosed as acute appendicitis in nine patients over a period of five years. As te inflammatory process develops in the right lower quadrant of the abdomen, lack of previous colonic pathology may lead to a misdiagnosis, usually of acute appendicitis. It should be borne in mind, however, that acute appendicitis decreases with age, whereas diverticula and carcinomas increase, and that the sigmoid colon is often a redundant organ with a tendency to migrate to the right side of the abdomen. In elderly patients with acute right abdominal pathology, it is important to operate through a transrectal or paramedian incision. A two-stage operation is preferable to a three-stage one.

Authors

Assa J
No affiliation info available
Zoireff L
No affiliation info available
Iuchtman M
No affiliation info available

MeSH

AbscessAppendicitisDiagnosis, DifferentialDiverticulitis, ColonicFemaleHumansIntestinal PerforationMaleMiddle AgedSigmoid DiseasesSigmoid Neoplasms

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

7429799

Citation

Assa, J, et al. "Perforation of the Sigmoid Colon Simulating Acute Appendicitis." Israel Journal of Medical Sciences, vol. 16, no. 9-10, 1980, pp. 646-8.
Assa J, Zoireff L, Iuchtman M. Perforation of the sigmoid colon simulating acute appendicitis. Isr J Med Sci. 1980;16(9-10):646-8.
Assa, J., Zoireff, L., & Iuchtman, M. (1980). Perforation of the sigmoid colon simulating acute appendicitis. Israel Journal of Medical Sciences, 16(9-10), 646-8.
Assa J, Zoireff L, Iuchtman M. Perforation of the Sigmoid Colon Simulating Acute Appendicitis. Isr J Med Sci. 1980 Sep-Oct;16(9-10):646-8. PubMed PMID: 7429799.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perforation of the sigmoid colon simulating acute appendicitis. AU - Assa,J, AU - Zoireff,L, AU - Iuchtman,M, PY - 1980/9/1/pubmed PY - 1980/9/1/medline PY - 1980/9/1/entrez SP - 646 EP - 8 JF - Israel journal of medical sciences JO - Isr J Med Sci VL - 16 IS - 9-10 N2 - Diverticulitis and carcinoma with abscess formation following perforation of the redundant sigmoid colon was erroneously diagnosed as acute appendicitis in nine patients over a period of five years. As te inflammatory process develops in the right lower quadrant of the abdomen, lack of previous colonic pathology may lead to a misdiagnosis, usually of acute appendicitis. It should be borne in mind, however, that acute appendicitis decreases with age, whereas diverticula and carcinomas increase, and that the sigmoid colon is often a redundant organ with a tendency to migrate to the right side of the abdomen. In elderly patients with acute right abdominal pathology, it is important to operate through a transrectal or paramedian incision. A two-stage operation is preferable to a three-stage one. SN - 0021-2180 UR - https://www.unboundmedicine.com/medline/citation/7429799/Perforation_of_the_sigmoid_colon_simulating_acute_appendicitis_ L2 - https://medlineplus.gov/appendicitis.html DB - PRIME DP - Unbound Medicine ER -