Caecal XXXX : Presentation and management.

@entity1 @entity66 @entity698 @entity294 @entity12127 @entity490 @entity4436 @entity1049
INTRODUCTION: While left sided @entity1049 is common in Western countries, right sided @entity1049 is rare. With increasing migration from Asia, many western countries including Australia, are now seeing more right sided @entity66 , of which @entity4436 is the commonest. This study aims to determine the incidence of @entity4436 in @entity1 presenting with @entity12127 , as well as identify the symptoms and clinical features that may aid in making a pre-operative diagnosis. METHODS: Data was collected using the Queen Elizabeth II Hospital medical records database identifying @entity1 diagnosed with @entity12127 and, more specifically, those with @entity4436 from January 2007 to December 2013. Only those @entity1 who had confirmed @entity4436 on imaging studies or at laparoscopy on their first admission were included in this study. RESULTS: A total of 632 @entity1 with @entity12127 were admitted to our institution over a seven-year period, of which 13 @entity1 had @entity4436 (2.06%). Of the 13 @entity1 , twelve were of Asian background and ten were considered young ( <=50 years of age). The main complaints were right sided @entity490 (n  =  11, 84.6%) and @entity294 (n  =  5, 38.5%). Nine were diagnosed using computed tomography (n  =  9/10, 90%), three on laparoscopy and one using ultrasound (n  =  1/2, 50%). Ten @entity1 were treated successfully by conservative means. DISCUSSION: A high index of suspicion in Asian @entity1 with atypical symptoms of @entity698 , especially @entity294 , may provide the diagnosis of @entity4436 .
