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Pseudodiverticulitis coeci – atypická etiológia bolesti v pravom hypogastriu


Authors: T. Toporcer;  P. Harbuľák;  H. Baumöhlová *;  L. Lakyová;  J. Radoňak
Authors‘ workplace: I. chirurgická klinika, Lekárska fakulta Univerzity P. J. Šafárika, Košice, prednosta: prof. MUDr. Jozef Radoňak, CSc. ;  Oddelenie patológie, FNLP, Košice, Slovenská republika *
Published in: Rozhl. Chir., 2010, roč. 89, č. 6, s. 379-383.
Category: Monothematic special - Original

Overview

The aim of our paper is to show on the diagnosis of coecal diverticul as infrequent reason of right iliac fossa pain.

We present the case report of 43-years old woman, which underwent appendectomy some years sooner, and was accepted into the hospital because of 48-hours taking right iliac fossa pain. Local peritoneal irritation was present. During laparotomy resection of right colon with the toilette of abdominal cavity was performed. Histology diagnosed the right colon pseudodiverticulitis.

In case of diagnosis of right colon pseudodiverticulitis before surgery and without peritoneal irritation, the most of authors recommend the conservative management with antibiotics. If the surgery is required, the local resection of diverticul with appendectomy is recommended. If the local resection is not possible, the ileocoecal resection has lower mortality as the right hemicolectomy.

Key words:
right iliac fossa pain – diverticul of coecum


Sources

1. Papapolychroniadis, C., Kaimakis, D., Fotiadis, P., et al. Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literature. Techniques in coloproctology, 2004, roč. 8, Suppl 1, s. 116–118.

2. Griffiths, E. A., Bergin, F. G., Henry, J. A., et al. Acute inflammation of a congenital cecal diverticulum mimicking appendicitis. Med. Sci. Monit., 2003, roč. 9, s. CS107–109.

3. Cole, M., Ayantunde, A. A., Payne, J. Caecal diverticulitis presenting as acute appendicitis: a case report. World J. Emerg. Surg., 2009, roč. 4, s. 29.

4. Williams, K. L. Acute solitary ulcers and acute diverticulitis of the caecum and ascending colon. The British journal of surgery, 1960, roč. 47, s. 351–358.

5. Poon, R. T., Chu, K. W. Inflammatory cecal masses in patients presenting with appendicitis. World journal of surgery, 1999, roč. 23, s. 713–716; discussion 716.

6. Shyung, L. R., Lin, S. C., Shih, S. C., et al. Decision making in right-sided diverticulitis. World J. Gastroenterol., 2003, roč. 9, s. 606–608.

7. Ruiz-Tovar, J., Reguero-Callejas, M. E., Gonzalez Palacios, F. Inflammation and perforation of a solitary diverticulum of the cecum. A report of 5 cases and literature review. Rev. Esp. Enferm. Dig., 2006, roč. 98, s. 875–880.

8. Connolly, D., McGookin, R. R., Gidwani, A.. et al. Inflamed solitary caecal diverticulum – it is not appendicitis, what should I do? Annals of the Royal College of Surgeons of England, 2006, roč. 88, s. 672–674.

9. Tan, E. C., Tung, K. H., Tan, L., et al. Diverticulitis of caecum and ascending colon in Singapore. Journal of the Royal College of Surgeons of Edinburgh, 1984, roč. 29, s. 373–376.

10. Kurer, M. A. Solitary caecal diverticulitis as an unusual cause of a right iliac fossa mass: a case report. Journal of medical case reports, 2007, roč. 1, s. 132.

11. Karatepe, O., Gulcicek, O. B., Adas, G., et al. Cecal diverticulitis mimicking acute Appendicitis: a report of 4 cases. World J. Emerg. Surg., 2008, roč. 3, s. 16.

12. Kumar, S., Fitzmaurice, G. J., O‘Donnell, M. E., et al. Acute right iliac fossa pain: not always appendicitis or a caecal tumour: two case reports. Cases journal, 2009, roč. 2, s. 88.

13. Anscombe, A. R., Keddie, N. C., Schofield, P. F. Solitary ulcers and diverticulitis of the caecum. The British journal of surgery, 1967, roč. 54, s. 553–557.

14. Miller, K., Mayer, E., Moritz, E. The role of laparoscopy in chronic and recurrent abdominal pain. American journal of surgery, 1996, roč. 172, s. 353–356; discussion 356–357.

15. Wagner, D. E., Zollinger, R. W. Diverticulitis of the cecum and ascending colon. Arch. Surg., 1961, roč.: 83, s. 436–443.

16. Sardi, A., Gokli, A., Singer, J. A. Diverticular disease of the cecum and ascending colon. A review of 881 cases. The American surgeon, 1987, roč. 53, s. 41–45.

17. Jang, H. J., Lim, H. K., Lee, S. J., et al. Acute diverticulitis of the cecum and ascending colon: the value of thin-section helical CT findings in excluding colonic carcinoma. Ajr, 2000, roč. 174, s. 1397–1402.

18. Lane, J. S., Sarkar, R., Schmit, P. J., et al. Surgical approach to cecal diverticulitis. Journal of the American College of Surgeons, 1999, roč. 188, s. 629–634; discussion 634–625.

19. Graham, S. M., Ballantyne, G. H. Cecal diverticulitis. A review of the American experience. Diseases of the colon and rectum, 1987, roč. 30, s. 821–826.

20. Fischer, M. G., Farkas, A. M. Diverticulitis of the cecum and ascending colon. Diseases of the colon and rectum, 1984, roč. 27, s. 454–458.

21. Shetgiri, P., Angel, L., Lebenthal, A., et al. Cecal diverticulitis: a case report and review of the current literature. International surgery, 2001, roč. 86, s. 191–194.

22. Fang, J. F., Chen, R. J., Lin, B. C., et al. Aggressive resection is indicated for cecal diverticulitis. American journal of surgery, 2003, roč. 185, s. 135–140.

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