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General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina
Copyright © 2023 The Korean Society of Coloproctology
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
CONFLICT OF INTEREST
No potential conflict of interest relevant to this article was reported.
FUNDING
None.
AUTHOR CONTRIBUTIONS
Conceptualization: RMPH, DAPP; Formal analysis: RMPH, DAPP; Supervision: JEL, HAPM, RP, MP; Writing–original draft: RMPH, DAPP; Writing–review & editing: JEL, HAPM, RP, MP. All authors read and approved the final manuscript.
Patient No. | Age (yr) | Sex | Asian | Duration of symptoms (hr) | NLR | WCC (× 109/L) | CRP (mg/dL) | Location of diverticula | Hinchey stage | Treatment |
---|---|---|---|---|---|---|---|---|---|---|
1 | 30 | Male | No | 60 | 2.8 | 10 | 5 | Ascending colon | O | Conservative |
2 | 58 | Male | Noa | 24 | 3.4 | 12.2 | 30 | Hepatic flexure | Ia | Conservative |
3 | 49 | Male | No | 24 | 6.5 | 11.1 | 49 | Ascending colon | Ia | Conservative |
4 | 34 | Female | No | 48 | 7 | 14 | 68 | Ascending colon | Ia | Conservative |
5 | 38 | Female | No | 96 | 7.5 | 15.4 | 138 | Hepatic flexure | Ib | Conservative |
6 | 30 | Female | No | 36 | 3.1 | 13.7 | 27 | Hepatic flexure | O | Conservative |
7 | 26 | Female | No | 12 | 3.9 | 20 | 82 | Ascending colon | O | Surgery |
8 | 40 | Male | No | 24 | 3.9 | 14.8 | 66 | Ascending colon | O | Surgery |
9 | 45 | Male | No | 48 | 6.8 | 13.4 | 32 | Caecum | Ia | Conservative |
10 | 43 | Male | No | 72 | 2.6 | 11.7 | 16 | Ascending colon | Ia | Conservative |
11 | 49 | Male | Noa | 24 | 7.3 | 16.6 | 79 | Hepatic flexure | Ia | Conservative |
12 | 55 | Male | No | 72 | 4.4 | 15.8 | 59 | Caecum | Ia | Conservative |
13 | 35 | Female | No | 24 | 3.1 | 11.1 | 29 | Caecum | Ia | Surgery |
14 | 60 | Male | No | 24 | 2 | 12 | 18 | Caecum | O | Conservative |
15 | 18 | Female | Noa | 48 | 2.5 | 10.7 | 6 | Caecum | Ia | Conservative |
16 | 42 | Male | No | 120 | 8.2 | 13.9 | 198 | Hepatic flexure | Ia | Conservative |
Characteristic | Right-sided | Left-sided | P-value |
---|---|---|---|
No. of patients | 16 | 394 | |
Sex | 0.95 | ||
Male | 10 (62.5) | 231 (58.6) | |
Female | 6 (37.5) | 163 (41.4) | |
Age (yr) | 40.7 ± 11.7 | 65.4 ± 12.7 | 0.001* |
< 50 | 13 (81.3) | 40 (10.2) | |
50–64 | 3 (18.8) | 171 (43.4) | |
65–79 | 0 (0) | 131 (33.2) | |
≥ 80 | 0 (0) | 52 (13.2) | |
Body mass index (kg/m2) | 21.5 ± 6.1 | 27.3 ± 6.4 | 0.01* |
Comorbidity | 0.01* | ||
Arterial hypertension | 2 (12.5) | 75 (19) | |
Diabetes mellitus | 1 (6.3) | 35 (8.9) | |
Cardiovascular | 0 (0) | 20 (5.1) | |
Charlson comorbidity index | 0.3 | 2.0 | 0.02* |
Onset of pain until admission (hr) | 47.3 ± 10.2 | 54.1 ± 17.4 | 0.05 |
Hinchey stage | 0.001* | ||
O | 5 (31.3) | 75 (19.0) | |
Ia | 10 (62.5) | 270 (68.5) | |
Ib | 1 (6.3) | 19 (4.8) | |
II | 0 (0) | 11 (2.8) | |
III | 0 (0) | 13 (3.4) | |
IV | 0 (0) | 6 (1.5) | |
Laboratory finding | 0.23 | ||
Leukocytes (× 109/L) | 13.5 ± 2.6 | 12.1 ± 3.4 | |
CRP (mg/dL) | 56.4 ± 21.2 | 62.2 ± 29.9 | |
NLR | 4.7 ± 2.2 | 5.6 ± 2.4 | |
Hospital stay (day) | 3.2 ± 1.2 | 5.3 ± 3.4 | 0.01* |
Treatment | 0.34 | ||
Conservative, diet + AB | 13 (81.3) | 367 (93.1) | |
Surgery | 3 (18.8) | 16 (4.1) | |
Percutaneous drainage + AB | 0 (0) | 11 (2.8) | |
Follow-up (mo) | 22.8 ± 8.4 | 28.6 ± 7.3 | 0.32 |
Recurrence | 1 (6.3) | 48 (12.2) | 0.001* |
Patient No. | Age (yr) | Sex | Asian | Duration of symptoms (hr) | NLR | WCC (× 109/L) | CRP (mg/dL) | Location of diverticula | Hinchey stage | Treatment |
---|---|---|---|---|---|---|---|---|---|---|
1 | 30 | Male | No | 60 | 2.8 | 10 | 5 | Ascending colon | O | Conservative |
2 | 58 | Male | No |
24 | 3.4 | 12.2 | 30 | Hepatic flexure | Ia | Conservative |
3 | 49 | Male | No | 24 | 6.5 | 11.1 | 49 | Ascending colon | Ia | Conservative |
4 | 34 | Female | No | 48 | 7 | 14 | 68 | Ascending colon | Ia | Conservative |
5 | 38 | Female | No | 96 | 7.5 | 15.4 | 138 | Hepatic flexure | Ib | Conservative |
6 | 30 | Female | No | 36 | 3.1 | 13.7 | 27 | Hepatic flexure | O | Conservative |
7 | 26 | Female | No | 12 | 3.9 | 20 | 82 | Ascending colon | O | Surgery |
8 | 40 | Male | No | 24 | 3.9 | 14.8 | 66 | Ascending colon | O | Surgery |
9 | 45 | Male | No | 48 | 6.8 | 13.4 | 32 | Caecum | Ia | Conservative |
10 | 43 | Male | No | 72 | 2.6 | 11.7 | 16 | Ascending colon | Ia | Conservative |
11 | 49 | Male | No |
24 | 7.3 | 16.6 | 79 | Hepatic flexure | Ia | Conservative |
12 | 55 | Male | No | 72 | 4.4 | 15.8 | 59 | Caecum | Ia | Conservative |
13 | 35 | Female | No | 24 | 3.1 | 11.1 | 29 | Caecum | Ia | Surgery |
14 | 60 | Male | No | 24 | 2 | 12 | 18 | Caecum | O | Conservative |
15 | 18 | Female | No |
48 | 2.5 | 10.7 | 6 | Caecum | Ia | Conservative |
16 | 42 | Male | No | 120 | 8.2 | 13.9 | 198 | Hepatic flexure | Ia | Conservative |
Characteristic | Right-sided | Left-sided | P-value |
---|---|---|---|
No. of patients | 16 | 394 | |
Sex | 0.95 | ||
Male | 10 (62.5) | 231 (58.6) | |
Female | 6 (37.5) | 163 (41.4) | |
Age (yr) | 40.7 ± 11.7 | 65.4 ± 12.7 | 0.001 |
< 50 | 13 (81.3) | 40 (10.2) | |
50–64 | 3 (18.8) | 171 (43.4) | |
65–79 | 0 (0) | 131 (33.2) | |
≥ 80 | 0 (0) | 52 (13.2) | |
Body mass index (kg/m2) | 21.5 ± 6.1 | 27.3 ± 6.4 | 0.01 |
Comorbidity | 0.01 |
||
Arterial hypertension | 2 (12.5) | 75 (19) | |
Diabetes mellitus | 1 (6.3) | 35 (8.9) | |
Cardiovascular | 0 (0) | 20 (5.1) | |
Charlson comorbidity index | 0.3 | 2.0 | 0.02 |
Onset of pain until admission (hr) | 47.3 ± 10.2 | 54.1 ± 17.4 | 0.05 |
Hinchey stage | 0.001 |
||
O | 5 (31.3) | 75 (19.0) | |
Ia | 10 (62.5) | 270 (68.5) | |
Ib | 1 (6.3) | 19 (4.8) | |
II | 0 (0) | 11 (2.8) | |
III | 0 (0) | 13 (3.4) | |
IV | 0 (0) | 6 (1.5) | |
Laboratory finding | 0.23 | ||
Leukocytes (× 109/L) | 13.5 ± 2.6 | 12.1 ± 3.4 | |
CRP (mg/dL) | 56.4 ± 21.2 | 62.2 ± 29.9 | |
NLR | 4.7 ± 2.2 | 5.6 ± 2.4 | |
Hospital stay (day) | 3.2 ± 1.2 | 5.3 ± 3.4 | 0.01 |
Treatment | 0.34 | ||
Conservative, diet + AB | 13 (81.3) | 367 (93.1) | |
Surgery | 3 (18.8) | 16 (4.1) | |
Percutaneous drainage + AB | 0 (0) | 11 (2.8) | |
Follow-up (mo) | 22.8 ± 8.4 | 28.6 ± 7.3 | 0.32 |
Recurrence | 1 (6.3) | 48 (12.2) | 0.001 |
Variable | Patient (n = 16) | 95% CI |
---|---|---|
Leukocytosis only | 15 (93.8) | 82–100 |
Right iliac fossa pain | 15 (93.8) | 82–100 |
Pain migration | 10 (62.5) | 39–87 |
Nausea/vomiting | 7 (43.8) | 20–68 |
Duration of pain > 48 hr | 5 (31.3) | 8–54 |
Diarrhoea | 4 (25.0) | 4–46 |
Generalised abdominal pain | 4 (25.0) | 4–46 |
Constipation | 3 (18.8) | 0–38 |
Fever | 3 (18.8) | 0–38 |
Leukocytosis + fever | 3 (18.8) | 0–44 |
Palpable mass | 1 (6.3) | 0–18 |
NLR, neutrophil-to-lymphocyte ratio; WCC, white cell count; CRP, C-reactive protein. Native American.
Values are presented as number only, number (%), or mean±standard deviation. CRP, C-reactive protein; NLR, neutrophil-to-lymphocyte ratio; AB, antibiotics. Significant associations (P<0.05).
Values are presented as number (%). CI, confidence interval.