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Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literature.
Tech Coloproctol. 2004 Nov; 8 Suppl 1:s116-8.TC

Abstract

BACKGROUND

Perforation of a solitary caecal diverticulum is a rare cause of acute abdomen and an uncommon differential diagnosis for acute appendicitis. Nine hundred cases have been described since Potiers' first description of perforated caecal diverticulum in 1912.

METHODS

We describe 2 cases of perforated diverticulum of the caecum. The first patient was a 50-year-old man diagnosed by subsequent histology, and the second a 77-year-old woman diagnosed intra-operatively. Radiography, ultrasound and CT scan of the abdomen pointed at the diagnosis in the second case. A right hemicolectomy was performed.

RESULTS

There were no complications, apart from a transient faecal fistula in the first patient managed conservatively. In both patients histology revealed a perforated caecal diverticulum.

CONCLUSIONS

The surgeon must be familiar with the diagnosis and management of this rare, inflammatory benign caecal entity.

Authors+Show Affiliations

Komninon 68, 55132 Kalamaria, Greece. jimkam@med.auth.grNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

15655592

Citation

Papapolychroniadis, C, et al. "Perforated Diverticulum of the Caecum. a Difficult Preoperative Diagnosis. Report of 2 Cases and Review of the Literature." Techniques in Coloproctology, vol. 8 Suppl 1, 2004, pp. s116-8.
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. Tech Coloproctol. 2004;8 Suppl 1:s116-8.
Papapolychroniadis, C., Kaimakis, D., Fotiadis, P., Karamanlis, E., Stefopoulou, M., Kouskouras, K., Dimitriadis, A., & Harlaftis, N. (2004). Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literature. Techniques in Coloproctology, 8 Suppl 1, s116-8.
Papapolychroniadis C, et al. Perforated Diverticulum of the Caecum. a Difficult Preoperative Diagnosis. Report of 2 Cases and Review of the Literature. Tech Coloproctol. 2004;8 Suppl 1:s116-8. PubMed PMID: 15655592.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literature. AU - Papapolychroniadis,C, AU - Kaimakis,D, AU - Fotiadis,P, AU - Karamanlis,E, AU - Stefopoulou,M, AU - Kouskouras,K, AU - Dimitriadis,A, AU - Harlaftis,N, PY - 2005/1/19/pubmed PY - 2005/2/24/medline PY - 2005/1/19/entrez SP - s116 EP - 8 JF - Techniques in coloproctology JO - Tech Coloproctol VL - 8 Suppl 1 N2 - BACKGROUND: Perforation of a solitary caecal diverticulum is a rare cause of acute abdomen and an uncommon differential diagnosis for acute appendicitis. Nine hundred cases have been described since Potiers' first description of perforated caecal diverticulum in 1912. METHODS: We describe 2 cases of perforated diverticulum of the caecum. The first patient was a 50-year-old man diagnosed by subsequent histology, and the second a 77-year-old woman diagnosed intra-operatively. Radiography, ultrasound and CT scan of the abdomen pointed at the diagnosis in the second case. A right hemicolectomy was performed. RESULTS: There were no complications, apart from a transient faecal fistula in the first patient managed conservatively. In both patients histology revealed a perforated caecal diverticulum. CONCLUSIONS: The surgeon must be familiar with the diagnosis and management of this rare, inflammatory benign caecal entity. SN - 1123-6337 UR - https://www.unboundmedicine.com/medline/citation/15655592/Perforated_diverticulum_of_the_caecum__A_difficult_preoperative_diagnosis__Report_of_2_cases_and_review_of_the_literature_ L2 - https://dx.doi.org/10.1007/s10151-004-0129-6 DB - PRIME DP - Unbound Medicine ER -