Diverticular disease of the cecum
Journal
Journal of Surgical Association Republic of China
Journal Volume
26
Journal Issue
6
Pages
2085-2089
Date Issued
1993
Author(s)
Abstract
From May 1981 to April 1992, 15 patients with diverticular disease of the cecum were analyzed retrospectively. Data was obtained from medical records for 11 men and 4 women. Their ages ranged from 32 to 68 years, with a mean age of 51.5 years. The major symptom was right lower quadrant abdominal pain, often indistinguishable from acute appendicitis. Usually, patients with cecal diverticulitis have a longer symptomatic duration than those with acute appendicitis. Particular attention should be paid to those patients with a prolonged history of right lower quadrant abdominal pain, to distinguish their disease from appendicitis. Ten patients received operation; 3, medical treatment; and 2 asymptomatic patients did not undergo any treatment. Among the 10 who received operation, four patients had right hemicolectomy, five had segmental resection and one, diverticulectomy. Medical treatment was the initial treatment of choice, and surgery was reserved for those patients with complications, recurrent episodes or who were diagnosed intraoperatively. Isolated diverticulum is managed by diverticulectomy; lesions too extensive for local excision are done by segmental resection. When the condition is indistinguishable from cecal carcinoma, a right hemicolectomy is the safest treatment.
SDGs
Other Subjects
abdominal pain; acute appendicitis; adult; aged; article; cecum carcinoma; cecum disease; clinical article; female; hemicolectomy; human; intestine diverticulosis; male; retrospective study; symptomatology
Type
journal article