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A Clinical Study of Acute Colonic Diverticulitis in Children

Journal of the Korean Pediatric Society 2003;46(11):1095-1100.
Published online November 15, 2003.
A Clinical Study of Acute Colonic Diverticulitis in Children
Jae Hoon Sim1, Keum Ho Song1, Yun Jung Sim1, Do Jun Cho1, Dug Ha Kim1, Ki Sik Min1, Ki Yang Yoo1, Hae Ran Lee1, Kwan Seop Lee2
1Department of Pediatrics, College of Medicine, Hallym University, Chunchon, Korea
2Department of Radiology, College of Medicine, Hallym University, Chunchon, Korea
소아에서 발생한 급성 대장 게실염의 임상적 고찰
심재훈1, 송금호1, 심은정1, 조도준1, 김덕하1, 민기식1, 유기양1, 이혜란1, 이관섭2
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 진단방사선과학교실
Correspondence: 
Ki Sik Min, Email: ksmin@hallym.or.kr
Abstract
Purpose
: Children with acute colonic diverticulitis(ACD), can be misdiagnosed with acute appendicitis.
Methods
: We reviewed 15 cases of ACD during five years, from January 1998 to June 2002 retrospectively.
Results
: Most patients(80%) with ACD in children presented with right lower quadrant pain. The primary diagnosis on admission was mostly acute appendicitis(87%), and all ACD in children occurred in the right colon. Fourteen patients were managed by conservative treatment including antibiotics. A follow-up study was performed in 15 patients. There were symptomatic recurrences in two patients, but no significant complication was noted. The frequency of ACD was 11.7 per 1000 acute appendicitis.
Conclusion
: ACD in children can mostly be cured by conservative treatment. It is prudent to choose the management through the diagnostic work up, including abdominal sonography and computed tomography, because there was no significant difference of clinical findings between ACD and acute appendicitis.
Key Words: Diverticulitis, Colon, Appendicitis, Child


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