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A rare nosological entity: the perforated solitary cecal diverticulum. Research article.
Ann Ital Chir. 2014 Jul-Aug; 85(4):397-403.AI

Abstract

AIM

To describe three cases of solitary cecal diverticulum, and trying to evaluate the better method of diagnosis and treatment with analysis of the literature.

MATERIAL OF STUDY

Description of three cases of solitary cecal diverticulum's perforation admitted in the Department of General and Oncologic Surgery, Santa Maria della Misericordia Hospital, Perugia, during the period January 2011 - January 2012.

RESULTS

In all patients the clinical presentation was very similar to that of acute appendicitis. Preoperative diagnosis was achieved in one case through abdominal CT scan, other two cases were identified at final pathology. At one year from the treatment all patient are still alive.

DISCUSSION

Cecal diverticulum is a rare condition, often diagnosed either casually or because of inflammatory or perforative complications. The highest incidence is found in Western population. Because of the clinical presentation, very similar to the appendicitis, and the inflammatory reaction involving the colon and its surrounding tissues, the pre- and intra-operative diagnosis are very difficult. The diagnosis is almost always histological. The treatment may vary from simple expectant medical management, carried out with bowel rest, parenteral support and antibiotics as for left-sided diverticulitis, to surgical approach, performed through simple diverticulectomy or by classical right hemicolectomy.

CONCLUSION

Pre-surgical and, also intra-operative, diagnosis of perforated solitary cecal diverticulum is clearly difficult. CT scan represents the gold standard for the differential diagnosis. Right hemicolectomy is an effective and safe approach, allowing accurate control, preventing complications and recurrences, and it represents the optimal management of the disease.

Authors

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Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25264076

Citation

Boselli, Carlo, et al. "A Rare Nosological Entity: the Perforated Solitary Cecal Diverticulum. Research Article." Annali Italiani Di Chirurgia, vol. 85, no. 4, 2014, pp. 397-403.
Boselli C, Burini G, Covarelli P, et al. A rare nosological entity: the perforated solitary cecal diverticulum. Research article. Ann Ital Chir. 2014;85(4):397-403.
Boselli, C., Burini, G., Covarelli, P., Barberini, F., Gemini, A., Castellani, E., Noya, G., & Cirocchi, R. (2014). A rare nosological entity: the perforated solitary cecal diverticulum. Research article. Annali Italiani Di Chirurgia, 85(4), 397-403.
Boselli C, et al. A Rare Nosological Entity: the Perforated Solitary Cecal Diverticulum. Research Article. Ann Ital Chir. 2014 Jul-Aug;85(4):397-403. PubMed PMID: 25264076.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A rare nosological entity: the perforated solitary cecal diverticulum. Research article. AU - Boselli,Carlo, AU - Burini,Gloria, AU - Covarelli,Piero, AU - Barberini,Francesco, AU - Gemini,Alessandro, AU - Castellani,Elisa, AU - Noya,Giuseppe, AU - Cirocchi,Roberto, PY - 2014/9/30/entrez PY - 2014/9/30/pubmed PY - 2016/9/9/medline SP - 397 EP - 403 JF - Annali italiani di chirurgia JO - Ann Ital Chir VL - 85 IS - 4 N2 - AIM: To describe three cases of solitary cecal diverticulum, and trying to evaluate the better method of diagnosis and treatment with analysis of the literature. MATERIAL OF STUDY: Description of three cases of solitary cecal diverticulum's perforation admitted in the Department of General and Oncologic Surgery, Santa Maria della Misericordia Hospital, Perugia, during the period January 2011 - January 2012. RESULTS: In all patients the clinical presentation was very similar to that of acute appendicitis. Preoperative diagnosis was achieved in one case through abdominal CT scan, other two cases were identified at final pathology. At one year from the treatment all patient are still alive. DISCUSSION: Cecal diverticulum is a rare condition, often diagnosed either casually or because of inflammatory or perforative complications. The highest incidence is found in Western population. Because of the clinical presentation, very similar to the appendicitis, and the inflammatory reaction involving the colon and its surrounding tissues, the pre- and intra-operative diagnosis are very difficult. The diagnosis is almost always histological. The treatment may vary from simple expectant medical management, carried out with bowel rest, parenteral support and antibiotics as for left-sided diverticulitis, to surgical approach, performed through simple diverticulectomy or by classical right hemicolectomy. CONCLUSION: Pre-surgical and, also intra-operative, diagnosis of perforated solitary cecal diverticulum is clearly difficult. CT scan represents the gold standard for the differential diagnosis. Right hemicolectomy is an effective and safe approach, allowing accurate control, preventing complications and recurrences, and it represents the optimal management of the disease. SN - 2239-253X UR - https://www.unboundmedicine.com/medline/citation/25264076/A_rare_nosological_entity:_the_perforated_solitary_cecal_diverticulum__Research_article_ DB - PRIME DP - Unbound Medicine ER -