Abstract
Diverticulosis of the right colon occurs in a small percentage of patients in Western countries İnvolvement of caecum in diverticulosis coli is infrequent, it accounts for %3,6 of all colonic diverticula and its progress is usally asymptomatic. Diagnosis of symptomatic caecal diverticulitis is difficult and can mimic acute appendicitis. The reported frequency is approximately 1 in 300 appendectomies. Advanced radiological procedures can be used for diagnosis of caecal diverticulitis. The diagnosis is almost made intraoperatively. In this paper we report a case who complains about right lower quadrant pain and preoperatively diagnosed as caecal diverticulitis and his progress.
Keywords
References
- Place RJ, Simmang CL. Diverticular disease. Best Pract Res Clin Gastroenterol 2002; 16: 135-148.
- Sardi A, Gokli A, Singer JA. Diverticular disease of the cecum and ascending colon. A review of 881 cases. Am Surg 1987; 53: 41-45.
- Park HC, Lee BH. Suspected uncomplicated cecal diverticulitis diagnosed by imaging: initial antibiotics vs laparoscopic treatment. World J Gastroenterol 2010; 16: 4854-4857.
- Karatepe O, Gulcicek OB, Adas G, Battal M, Ozdenkaya Y, Kurtuluş I, Altiok M, Karahan S. Cecal diverticulitis mimicking acute appendicitis: a report of 4 cases. World J Emerg Surg 2008; 3: 16.
- Connoly D, McGookin RR, Gidwani A, Brown MG. Inflamed solitary cecal diverticulum - it is not appendicitis, what should I do? Ann R Coll Surg Engl 2006; 88: 672-674.
- Cole M, Ayantunde AA, Payne J. Caecal diverticulitis presenting as acute appendicitis: a case report. World J Emerg Surg 2009; 4: 29.
- Kumar S, Fitzmaurice GJ, O’Donnell ME, Brown R. Acute right iliac fossa pain : not always appendicitis or a caecal tumour: two case reports. Cases J 2009; 2: 88.
- Papapolychroniadis C, Kaimakis D, Fotiadis P, Karamanlis E, Stefopoulou M, Kouskouras K, Dimitriadis A, Harlaftis N. Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literatüre. Tech Coloproctol 2004; 8: 116-118.
- Griffiths EA, Date RS. Acute presentation of a solitary caecal diverticulum: a case report. J Med Case Rep 2007; 1: 129.
- Fang JF ,Chen RJ, Lin BC, Hsu YB, Kao JL, Chen MF. Aggressive resection is indicated for cecal diverticulitis. Am J Surg 2003; 185: 135-140.
Abstract
Kolonun divertiküler hastalığı asemptomatik olup; karın ağrısı, barsak alışkanlıklarında değişiklikler gibi bulgularla beraberdir. Genellikle sol kolon yerleşimli olan hastalık, çıkan kolon ve çekumda nadir olarak (%3.6) görülür. Semptomatik olması durumunda; iştahsızlık, sağ alt kadran ağrısı, periton irritasyonu, lökositoz ve ateş kliniği mevcuttur. Fizik muayene ile akut apandisitten ayırt etmek oldukça güçtür. İleri radyolojik görüntüleme yöntemleri kullanmak gerekmektedir. Tanı genellikle intraoperatif konmaktadır. Sıklık olarak üç yüz appendektomide bir karşılaşılmaktadır. Bu makalemizde iştahsızlık, bulantı, kusma, ateş, sağ alt kadran ağrısı, ile başvuran olguda ameliyat öncesi tespit edilen çekum divertiküliti ve akibeti sunulmuştur.
References
- Place RJ, Simmang CL. Diverticular disease. Best Pract Res Clin Gastroenterol 2002; 16: 135-148.
- Sardi A, Gokli A, Singer JA. Diverticular disease of the cecum and ascending colon. A review of 881 cases. Am Surg 1987; 53: 41-45.
- Park HC, Lee BH. Suspected uncomplicated cecal diverticulitis diagnosed by imaging: initial antibiotics vs laparoscopic treatment. World J Gastroenterol 2010; 16: 4854-4857.
- Karatepe O, Gulcicek OB, Adas G, Battal M, Ozdenkaya Y, Kurtuluş I, Altiok M, Karahan S. Cecal diverticulitis mimicking acute appendicitis: a report of 4 cases. World J Emerg Surg 2008; 3: 16.
- Connoly D, McGookin RR, Gidwani A, Brown MG. Inflamed solitary cecal diverticulum - it is not appendicitis, what should I do? Ann R Coll Surg Engl 2006; 88: 672-674.
- Cole M, Ayantunde AA, Payne J. Caecal diverticulitis presenting as acute appendicitis: a case report. World J Emerg Surg 2009; 4: 29.
- Kumar S, Fitzmaurice GJ, O’Donnell ME, Brown R. Acute right iliac fossa pain : not always appendicitis or a caecal tumour: two case reports. Cases J 2009; 2: 88.
- Papapolychroniadis C, Kaimakis D, Fotiadis P, Karamanlis E, Stefopoulou M, Kouskouras K, Dimitriadis A, Harlaftis N. Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literatüre. Tech Coloproctol 2004; 8: 116-118.
- Griffiths EA, Date RS. Acute presentation of a solitary caecal diverticulum: a case report. J Med Case Rep 2007; 1: 129.
- Fang JF ,Chen RJ, Lin BC, Hsu YB, Kao JL, Chen MF. Aggressive resection is indicated for cecal diverticulitis. Am J Surg 2003; 185: 135-140.
Details
| Primary Language | English |
|---|---|
| Journal Section | Olgu Sunumları |
| Authors | |
| Publication Date | March 9, 2016 |
| Submission Date | June 2, 2014 |
| Published in Issue | Year 2015 Volume: 6 Issue: 3 |
SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.