作者: P Mattei , C J Yeo , J E Sola
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摘要: Those having chronic and recurrent appendicitis represent a small portion of patients with disorders the appendix. We present series nine who underwent appendectomy for or at The Johns Hopkins Hospital, Baltimore, Maryland, between July 1984 October 1992. There were seven women two men (median age 30 years, range 15 to 63 years). All presented pain in right lower quadrant abdomen three more weeks duration (mean 16.0 +/- 8.4 months, years), had no alternative diagnosis account symptoms, pathologic evidence inflammation fibrosis appendix complete relief symptoms after appendectomy. Although herein clinical appendicitis, careful review course each patient before surgical referral revealed least one episode acute consistent managed by nonoperative means. This suggests that, while do occur, they can be avoided accurate operative management appendicitis. conclude that resolve spontaneously recur repeatedly same individual; evaluation abdominal pain, history prior similar episodes should never dissuade from considering considered differential abdomen.