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Solitary diverticulum of the caecum and its complications.
Ann Chir Gynaecol Suppl. 1977; 66(5):230-3.AC

Abstract

Solitary diverticulum of the caecum is very rare and assumes clinical interest only when inflamed. Preoperatively the condition is virtually impossible to distinguish from acute appendicitis, and even during operation its differentiation from carcinoma is difficult. It is also important to determine whether or not an underlying solitary diverticulum of the caecum is present. In the present series the symptoms and clinical examination as well as laboratory findings pointed to acute appendicitis, which was in fact the preoperative diagnosis in all our patients. In one case the operative findings were strongly suggestive of carcinoma, which was only excluded by inspection and histological examination of the specimen. The wall of the diverticulum was necrotic in all cases. It had already perforated in the previously mentioned case, and right hemicolectomy was performed. An inflamed, but recognizable, solitary diverticulum of the caecum was treated by excision, but the tumour-like mass produced by the diverticulum was removed by resection. In view of the considerable possibility of underlying carcinoma, the authors support an aggressive trend in the treatment of "inflammatory tumours" of the caecal wall.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

413467

Citation

Peltokallio, P, et al. "Solitary Diverticulum of the Caecum and Its Complications." Annales Chirurgiae Et Gynaecologiae. Supplementum, vol. 66, no. 5, 1977, pp. 230-3.
Peltokallio P, Tykkä H, Myllärniemi H. Solitary diverticulum of the caecum and its complications. Ann Chir Gynaecol Suppl. 1977;66(5):230-3.
Peltokallio, P., Tykkä, H., & Myllärniemi, H. (1977). Solitary diverticulum of the caecum and its complications. Annales Chirurgiae Et Gynaecologiae. Supplementum, 66(5), 230-3.
Peltokallio P, Tykkä H, Myllärniemi H. Solitary Diverticulum of the Caecum and Its Complications. Ann Chir Gynaecol Suppl. 1977;66(5):230-3. PubMed PMID: 413467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Solitary diverticulum of the caecum and its complications. AU - Peltokallio,P, AU - Tykkä,H, AU - Myllärniemi,H, PY - 1977/1/1/pubmed PY - 1977/1/1/medline PY - 1977/1/1/entrez SP - 230 EP - 3 JF - Annales chirurgiae et gynaecologiae. Supplementum JO - Ann Chir Gynaecol Suppl VL - 66 IS - 5 N2 - Solitary diverticulum of the caecum is very rare and assumes clinical interest only when inflamed. Preoperatively the condition is virtually impossible to distinguish from acute appendicitis, and even during operation its differentiation from carcinoma is difficult. It is also important to determine whether or not an underlying solitary diverticulum of the caecum is present. In the present series the symptoms and clinical examination as well as laboratory findings pointed to acute appendicitis, which was in fact the preoperative diagnosis in all our patients. In one case the operative findings were strongly suggestive of carcinoma, which was only excluded by inspection and histological examination of the specimen. The wall of the diverticulum was necrotic in all cases. It had already perforated in the previously mentioned case, and right hemicolectomy was performed. An inflamed, but recognizable, solitary diverticulum of the caecum was treated by excision, but the tumour-like mass produced by the diverticulum was removed by resection. In view of the considerable possibility of underlying carcinoma, the authors support an aggressive trend in the treatment of "inflammatory tumours" of the caecal wall. SN - 0355-9874 UR - https://www.unboundmedicine.com/medline/citation/413467/Solitary_diverticulum_of_the_caecum_and_its_complications_ L2 - https://medlineplus.gov/diverticulosisanddiverticulitis.html DB - PRIME DP - Unbound Medicine ER -