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[Acute appendicitis or diverticulitis of the right colon? Diagnostic dilemma in emergency surgery].
G Chir. 2005 Mar; 26(3):89-93.GC

Abstract

Diverticulitis of the right colon is a rare disease in the Western countries, so that the diagnosis still remains very difficult and frequently indistinguishable from acute appendicitis preoperatively. In presence of acute abdominal discomfort with pain referred to the right lower quadrant region, fever and hyperleukocytosis, nausea and vomiting, surgeons operate with a margin of uncertainty, because of the increased morbidity and mortality associated with delay in diagnosis and consequent perforation of acute appendicitis. Moreover the unexpected inflammatory colonic mass of uncertain etiology is sometimes mistaken for carcinoma at laparotomy and consequently a right hemicolectomy is performed. In these cases it should be better that right-sided colonic diverticulitis should be taken into account allowing a more correct surgical approach and even conservative treatment alone. Therefore, in case of suspected appendicitis, since our experience and literature data indicate that the mean age for right diverticulitis is over 40 years, also in presence of a significative Alvarado's score, computed tomography is strongly recommended, if the age is over 40 years.

Authors+Show Affiliations

Università degli Studi La Sapienza di Roma, Istituto Dipartimentalizzato di Clinica d'Urgenza e Pronto Soccorso.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ita

PubMed ID

15934628

Citation

Stagnitti, F, et al. "[Acute Appendicitis or Diverticulitis of the Right Colon? Diagnostic Dilemma in Emergency Surgery]." Il Giornale Di Chirurgia, vol. 26, no. 3, 2005, pp. 89-93.
Stagnitti F, Salvi PF, Schillaci F, et al. [Acute appendicitis or diverticulitis of the right colon? Diagnostic dilemma in emergency surgery]. G Chir. 2005;26(3):89-93.
Stagnitti, F., Salvi, P. F., Schillaci, F., Priore, F., Corona, F., Tiberi, R., & De Pascalis, M. (2005). [Acute appendicitis or diverticulitis of the right colon? Diagnostic dilemma in emergency surgery]. Il Giornale Di Chirurgia, 26(3), 89-93.
Stagnitti F, et al. [Acute Appendicitis or Diverticulitis of the Right Colon? Diagnostic Dilemma in Emergency Surgery]. G Chir. 2005;26(3):89-93. PubMed PMID: 15934628.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Acute appendicitis or diverticulitis of the right colon? Diagnostic dilemma in emergency surgery]. AU - Stagnitti,F, AU - Salvi,P F, AU - Schillaci,F, AU - Priore,F, AU - Corona,F, AU - Tiberi,R, AU - De Pascalis,M, PY - 2005/6/7/pubmed PY - 2005/8/18/medline PY - 2005/6/7/entrez SP - 89 EP - 93 JF - Il Giornale di chirurgia JO - G Chir VL - 26 IS - 3 N2 - Diverticulitis of the right colon is a rare disease in the Western countries, so that the diagnosis still remains very difficult and frequently indistinguishable from acute appendicitis preoperatively. In presence of acute abdominal discomfort with pain referred to the right lower quadrant region, fever and hyperleukocytosis, nausea and vomiting, surgeons operate with a margin of uncertainty, because of the increased morbidity and mortality associated with delay in diagnosis and consequent perforation of acute appendicitis. Moreover the unexpected inflammatory colonic mass of uncertain etiology is sometimes mistaken for carcinoma at laparotomy and consequently a right hemicolectomy is performed. In these cases it should be better that right-sided colonic diverticulitis should be taken into account allowing a more correct surgical approach and even conservative treatment alone. Therefore, in case of suspected appendicitis, since our experience and literature data indicate that the mean age for right diverticulitis is over 40 years, also in presence of a significative Alvarado's score, computed tomography is strongly recommended, if the age is over 40 years. SN - 0391-9005 UR - https://www.unboundmedicine.com/medline/citation/15934628/[Acute_appendicitis_or_diverticulitis_of_the_right_colon_Diagnostic_dilemma_in_emergency_surgery]_ L2 - https://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -