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©The Author(s) 2015.
World J Gastroenterol. Apr 7, 2015; 21(13): 3921-3927
Published online Apr 7, 2015. doi: 10.3748/wjg.v21.i13.3921
Published online Apr 7, 2015. doi: 10.3748/wjg.v21.i13.3921
Table 1 Comparison of the clinical features between appendiceal diverticulitis and acute appendicitis
Variable | Appendiceal diverticulitis (n = 44) | Acute appendicitis (n = 398) | |||
Median | Range | Median | Range | P value | |
Age (yr) | 59 | 17-89 | 35 | 7-87 | < 0.0012 |
Duration of symptoms (d) | 4.0 | 10-30 | 1.0 | 0-20 | < 0.0012 |
Preoperative CRP (mg/dL) | 13.6 | 0.5-29.7 | 6.8 | 0.1-37.2 | < 0.0012 |
Preoperative WBC (/μL) | 13100 | 3580-20000 | 14000 | 2071-30100 | 0.022 |
Number | Rate | Number | Rate | ||
Sex (male/total) | 32 | 72% | 223 | 56% | 0.061 |
Comorbidity (yes/total) | 26 | 60% | 278 | 70% | 0.201 |
Table 2 Comparison of intra- and post-operative factor between appendiceal diverticulitis and acute appendicitis
Variable | Appendiceal diverticulitis (n = 44) | Acute appendicitis (n =398) | |||
Median | Range | Median | Range | P value | |
Operating times (min) | 77 | 33-165 | 55 | 15-172 | < 0.0012 |
Inoperative blood loss (mL) | 60 | 10-970 | 20 | 10-650 | < 0.0012 |
Postoperative hospital stay (d) | 8 | 4-38 | 5 | 2-48 | < 0.0012 |
Number | Rate | Number | Rate | ||
Ileocecal resection (yes/total) | 6 | 13% | 10 | 2% | 0.0081 |
Skin incision (pararectal incision/total) | 35 | 79% | 143 | 36% | 0.121 |
Formation of localized abscess (yes/total) | 26 | 60% | 60 | 15% | < 0.0011 |
Perforation (yes/total) | 32 | 72% | 123 | 31% | < 0.0011 |
Postoperative wound infection (yes/total) | 7 | 15% | 32 | 8% | 0.121 |
Postoperative ileus (yes/total) | 3 | 8% | 16 | 4% | 0.301 |
Table 3 Comparison of intra- and post-operative factor between perforated appendiceal diverticulitis and perforated acute appendicitis
Variable | Perforated appendiceal diverticulitis (n = 30) | Perforated acute appendicitis (n = 111) | |||
Median | Range | Median | Range | P value | |
Operating times (min) | 65 | 45-165 | 67 | 25-172 | 0.982 |
Inoperative blood loss (mL) | 60 | 10-970 | 40 | 10-650 | 0.052 |
Postoperative hospital stay (d) | 9 | 5-38 | 9 | 3-48 | 0.772 |
Number | Rate | Number | Rate | ||
Ileocecal resection (yes/total) | 4 | 13% | 7 | 6% | 0.201 |
Skin incision (pararectal incision/total) | 27 | 89% | 82 | 74% | 0.111 |
Formation of localized abscess (yes/total) | 22 | 72% | 39 | 35% | < 0.0011 |
Postoperative wound infection (yes/total) | 5 | 17% | 19 | 17% | 0.961 |
Postoperative ileus (yes/total) | 3 | 11% | 12 | 11% | 0.921 |
Table 4 Results of the retrospective computed tomography review
Variable | Appendiceal diverticulitis (n = 25) | Acute appendicitis (n = 25) | |||
Median | Range | Median | Range | P value | |
Appendiceal diameter (mm) | 13.2 | 4.3-23.4 | 12.4 | 8.1-18.9 | 0.252 |
Appendiceal wall thickening (mm) | 3.1 | 1.6-5.3 | 3.7 | 2.0-6.2 | 0.772 |
Number | Rate | Number | Rate | ||
Visualized appendix (yes/total) | 13 | 52% | 25 | 100% | < 0.0011 |
Fluid collection in the appendix lumen (yes/total) | 4 | 16% | 22 | 88% | < 0.0011 |
Formation of localized abscess (yes/total) | 17 | 68% | 4 | 16% | < 0.0011 |
Periappendiceal fat stranding(yes/total) | 16 | 66% | 11 | 44% | 0.171 |
Appendiceal or abscess wall enhancement (yes /total) | 10 | 58% | 9 | 41% | 0.271 |
Apendicolith (yes/total) | 2 | 8% | 12 | 48% | 0.00471 |
Visualized appendiceal diverticulum (yes /total) | 6 | 24% | 0 | 0% | 0.0251 |
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Citation: Ito D, Miki K, Seiichiro S, Hata S, Kobayashi K, Teruya M, Kaminishi M. Clinical and computed tomography findings of appendiceal diverticulitis
vs acute appendicitis. World J Gastroenterol 2015; 21(13): 3921-3927 - URL: https://www.wjgnet.com/1007-9327/full/v21/i13/3921.htm
- DOI: https://dx.doi.org/10.3748/wjg.v21.i13.3921