| ISSN |
2307-8960 (online) |
| Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
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| Permissions |
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Case Control Study |
| Article Title |
Clinical differentiation of acute appendicitis and right colonic diverticulitis: A case-control study
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Yosuke Sasaki, Fumiya Komatsu, Naoyasu Kashima, Takahiro Sato, Ikutaka Takemoto, Sho Kijima, Tadashi Maeda, Takamasa Ishii, Taito Miyazaki, Yoshiko Honda, Nagato Shimada and Yoshihisa Urita |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Yosuke Sasaki, MD, PhD, Assistant Professor, Department of General Medicine and Emergency Care, Toho University School of Medicine, Omori Hospital, 6-11-1 Omori-Nishi, Ota-Ku, Tokyo 143-8541, Japan. yousuke.sasaki@med.toho-u.ac.jp |
| Key Words |
Right lower quadrant pain; Diverticulitis; C-reactive protein; Clinical difference; Appendicitis; Acute abdomen; Abdominal pain |
| Core Tip |
Right colonic diverticulitis is an important differential diagnosis of appendicitis in Asian countries because of the unusually high prevalence of right colonic diverticula; however, studies reporting clinical differentiation between appendicitis and right colonic diverticulitis are still limited. Our case-control study using a logistic regression model shows that nausea/vomiting [odds ratio (OR): 3.89] and anorexia (OR: 2.13) suggest that appendicitis is more likely. On the other hand, longer onset-to-visit interval (OR: 0.84), right lower quadrant pain (OR: 0.28), history of diverticulitis (OR: 0.034), and CRP level > 3.0 mg/dL (OR: 0.25) suggest that right colonic diverticulitis is more likely. |
| Publish Date |
2019-06-26 06:21 |
| Citation |
Sasaki Y, Komatsu F, Kashima N, Sato T, Takemoto I, Kijima S, Maeda T, Ishii T, Miyazaki T, Honda Y, Shimada N, Urita Y. Clinical differentiation of acute appendicitis from right colonic diverticulitis: A case-control study. World J Clin Cases 2019; 7(12): 1393-1402 |
| URL |
https://www.wjgnet.com/2307-8960/full/v7/i12/1393.htm |
| DOI |
https://dx.doi.org/10.12998/wjcc.v7.i12.1393 |
