Tags

Type your tag names separated by a space and hit enter

[A rare case of a perforated diverticulum of the cecum].
Minerva Chir. 1998 Jun; 53(6):531-4.MC

Abstract

A rare case of peritonitis by cecal perforated diverticulum which was diagnosed after surgery by histology is reported. Preoperative diagnosis is often ignored and, in rare cases, is not always clear at laparotomy. Clinical aspects, diagnostic procedures, histological picture and surgical treatment are described. In the literature diverticula are classified as "solitary" and "multiple", "congenital" and "acquired", "true" and "false" and finally "usual type" and "hidden variant". The treatment of cecal acute diverticulitis is, in the majority of patients, surgery. Simple resection of the diverticulum and suture of the breach in double layer is the elective operation of non-complicated diverticulum or with an inflamed projection from the cecal wall ("usual type"). Segmental resection of colon or "right hemicolectomy" is recommended when a precise diagnosis is not possible and in complicated diverticula ("hidden variant"). On the basis of personal experience it is underlined that diagnosis is rarely made preoperatively since the clinical picture suggests an acute appendicitis. If there are some doubts for appendicitis, a incidental tumor or possible perforated diverticulum of the cecum should be considered and urgent surgery is mandatory.

Authors+Show Affiliations

Unità Operativa di Chirurgia, Azienda USL 6 di Livorno, Regione Toscana, Presidio Ospedaliero Elbano, Portoferraio, Isola d'Elba.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article
Review

Language

ita

PubMed ID

9774847

Citation

Vitali, V, et al. "[A Rare Case of a Perforated Diverticulum of the Cecum]." Minerva Chirurgica, vol. 53, no. 6, 1998, pp. 531-4.
Vitali V, Di Vito A, Menno P. [A rare case of a perforated diverticulum of the cecum]. Minerva Chir. 1998;53(6):531-4.
Vitali, V., Di Vito, A., & Menno, P. (1998). [A rare case of a perforated diverticulum of the cecum]. Minerva Chirurgica, 53(6), 531-4.
Vitali V, Di Vito A, Menno P. [A Rare Case of a Perforated Diverticulum of the Cecum]. Minerva Chir. 1998;53(6):531-4. PubMed PMID: 9774847.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A rare case of a perforated diverticulum of the cecum]. AU - Vitali,V, AU - Di Vito,A, AU - Menno,P, PY - 1998/10/17/pubmed PY - 1998/10/17/medline PY - 1998/10/17/entrez SP - 531 EP - 4 JF - Minerva chirurgica JO - Minerva Chir VL - 53 IS - 6 N2 - A rare case of peritonitis by cecal perforated diverticulum which was diagnosed after surgery by histology is reported. Preoperative diagnosis is often ignored and, in rare cases, is not always clear at laparotomy. Clinical aspects, diagnostic procedures, histological picture and surgical treatment are described. In the literature diverticula are classified as "solitary" and "multiple", "congenital" and "acquired", "true" and "false" and finally "usual type" and "hidden variant". The treatment of cecal acute diverticulitis is, in the majority of patients, surgery. Simple resection of the diverticulum and suture of the breach in double layer is the elective operation of non-complicated diverticulum or with an inflamed projection from the cecal wall ("usual type"). Segmental resection of colon or "right hemicolectomy" is recommended when a precise diagnosis is not possible and in complicated diverticula ("hidden variant"). On the basis of personal experience it is underlined that diagnosis is rarely made preoperatively since the clinical picture suggests an acute appendicitis. If there are some doubts for appendicitis, a incidental tumor or possible perforated diverticulum of the cecum should be considered and urgent surgery is mandatory. SN - 0026-4733 UR - https://www.unboundmedicine.com/medline/citation/9774847/[A_rare_case_of_a_perforated_diverticulum_of_the_cecum]_ DB - PRIME DP - Unbound Medicine ER -