Chances of Misdiagnosis between Acute Appendicitis & Ureteric Colic

A. Abbas, Hamdan

	Chances of Misdiagnosis between Acute Appendicitis & Ureteric Colic
Mustansiriya Medical Journal
Article 1, Volume 9, Issue 1, 2010, Pages 13-16
Author
Hamdan A. Abbas
Abstract
Background The symptoms of acute appendicitis (A.A.) mimic sometimes the symptoms of ureteric colic (U.C.) due to stone leading to mistake in the diagnosis and delay in the management hence increased mortality and morbidity. Aim To compare the features of differential diagnosis between the two groups and to see how frequent cases of U.C managed and treated as A.A. Method Prospective study of 100 patients who are proved A.A and 100 patients proved U.C were taken to compare the features of differential diagnosis while 50 patients of histologically proved negative appendicectomies were followed up for ureteric stone. Result No urinary stones in the 50 cases of negative appendicectopmies have been found when followed up. A.A cause more often fever, localized pain in the right iliac fossa, nausea with or without vomiting, C - reactive protein (C.R.P) and white blood cell (W.B.C) count elevation more than U.C while general urine examination (G.U.E.) revealed more red blood cells (R.B.C) and pus cells in cases of U.C as compare with A.A. Conclusion Misdiagnosis between A.A and U.C is a rare clinical event in our hospital. U.C causes pain and tenderness in the flanks and revealed more R.B.C in the urine while A.A causes more fever, leucocytosis and elevated C.R.P.
Keywords
appendicitis; ureteric colic; Stone; diagnosis

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