Association between the appendix and the fecalith in adults
Association between the appendix and the fecalith in adults
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DOI：
10.1503/cjs.002014
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发表时间：
2015-02-01
影响因子：
2.5
通讯作者：
Barrow, Shaheeba
中科院分区：
文献类型：
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作者：
Ramdass, Michael J.;Sing, Quillan Young;Barrow, Shaheeba
背景：我们试图确定粪石的存在与急性/非穿孔阑尾炎、坏疽/穿孔阑尾炎和健康阑尾之间的关系。方法：回顾性分析2003年10月至2012年2月间进行的阑尾切除术。我们收集了年龄、性别、阑尾组织学和是否有粪石的数据。结果：研究期间共行阑尾切除术1357例。186例（13.7%）患者存在粪石。男性94例（50.5%），女性92例，平均年龄32岁（10 ~ 76岁）。粪石率为13% ~ 16%，80岁后不存在。以急性/非穿孔阑尾炎组（n = 121, 65.1%, p = 0.041）和健康阑尾组（n = 65, 34.9%, p = 0.003）为主要组。坏疽/穿孔阑尾炎组粪石的存在无统计学意义（n = 19, 10.2%, p = 0.93）。浆膜炎、类癌或癌患者无粪石。结论：我们的数据证实了粪石与成人急性（非穿孔）阑尾炎存在统计学关联的理论。健康的阑尾和无症状的粪石之间也有显著的联系。阑尾坏疽/穿孔与粪石的存在没有相关性。粪石是偶然发现的，并不总是急性（无穿孔）阑尾炎或坏疽性（穿孔）阑尾炎的主要原因。建议对该主题进行进一步研究。
Background: We sought to determine the association between the presence of a fecalith and acute/nonperforated appendicitis, gangrenous/perforated appendicitis and the healthy appendix.Methods: We retrospectively analyzed appendectomies performed between October 2003 and February 2012. We collected data on age, sex, appendix histology and the presence of a fecalith.Results: During the study period, 1357 appendectomies were performed. Fecaliths were present in 186 patients (13.7%). There were 94 male (50.5%) and 92 female patients, and the mean age was 32 (range of 10-76) years. The fecalith rate was 13%-16% and was nonexistant after age 80 years. The main groups with fecaliths were those with acute/nonperforated appendicitis (n = 121, 65.1%, p = 0.041) and those with a healthy appendix (n = 65, 34.9%, p = 0.003). The presence of fecaliths in the gangrenous/perforated appendicitis group was not significant (n = 19, 10.2%, p = 0.93). There were no fecaliths in patients with serositis, carcinoid or carcinoma.Conclusion: Our data confirm the theory of a statistical association between the presence of a fecalith and acute (nonperforated) appendicitis in adults. There was also a significant association between the healthy appendix and asymptomatic fecaliths. There was no correlation between a gangrenous/perforated appendix and the presence of a fecalith. The fecalith is an incidental finding and not always the primary cause of acute (nonperforated) appendictis or gangrenous (perforated) appendicitis. Further research on the topic is recommended.