Diagnosis and Treatment of Cecal Diverticulitis_West China Medical Journal

Authors：

1.General Surgery Department, The Second People’s Hospital of Deyang City; 2.General Surgery Department, People’s Hospital of Deyang City, Deyang Sichuan 618000, China;

Corresponding?author：

Keywords：

盲腸憩室炎; 急性闌尾炎; 誤診; 手術方式

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目的:探討盲部憩室炎的診斷和手術方式的選擇。方法:回顧性分析18例盲部憩室炎的臨床資料,包塊臨床表現、腹部體征、輔助檢查、手術方式及隨訪結果。結果:18例均有右下腹疼痛及右下腹壓痛。術前診斷困難,僅通過鋇灌腸結腸造影和結腸鏡確診各1例,誤診為急性闌尾炎12例、闌尾周圍膿腫1例、回盲部腫瘤3例。憩室單發3例,多發性15例,其中2個憩室9例,3個憩室6例。單純憩室切除9例,回盲部切除2例;右半結腸切除7例。全組患者均獲治愈,無嚴重并發癥發生。結論:盲腸憩室炎的臨床特征與急性闌尾炎相似,極易誤診為急性闌尾炎等。術中應注意探查,避免遺漏病變。根據憩室具體情況決定手術方式。

Citation： ZHANG Sui,LIU Yong,LIU Zhen,et al.. Diagnosis and Treatment of Cecal Diverticulitis. West China Medical Journal, 2009, 24(6): 1375-1377. doi: Copy

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3.	FANG J F, CHEN R J, LIN B C, et al. Aggressive resection is indicated for cecal diverticulitis[J]. Am J Surg,2003,185(2):135-140.
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5.	JANG H J, LIM H K, LEE S J, et al. Acute diverticulitis of the cecum and ascending colon: Thinsection helical CT findings[J]. AJR,1999,172(3):601-604.
6.	YANG H R, HUANG H H, WANG Y C, et al. Management of right colon diverticulitis: A 10year experience[J]. World J Surg,2006,30(10):1929–1934.
7.	PAPAZIOGAS B, MAKRIS J, KOUTELIDAKIS I, et al. Surgical management of cecal diverticulitis: is diverticulectomy enough?[J] Int J Colorectal Dis,2005,20(1):24-27.
8.	HILDEBRAND P, KROPP M, STELLMACHER F, et al. Surgery for rightsided colonic diverticulitis: results of a 10yearobservation period[J]. Langenbecks Arch Surg,2007,392(2):143-147.

1. KEIDAR S, PAPPO I, SHPERBER Y, et al. Cecal diverticulitis: a diagnostic challenge[J]. Dig Surg,2000,17(5):504-512.
2. HARADA R N, WHELAN T J JR. Surgical management of cecal diverticulitis[J]. Am J Surg,1993,166(6):666-669.
3. FANG J F, CHEN R J, LIN B C, et al. Aggressive resection is indicated for cecal diverticulitis[J]. Am J Surg,2003,185(2):135-140.
4. OUDENHOVEN L F I J, KOUMANS R K J, PUYLAERT J B C M. Right colonic diverticulitis: US and CT findingsNew insights about frequency and natural history[J]. Radiology,1998,08(3):611-618.
5. JANG H J, LIM H K, LEE S J, et al. Acute diverticulitis of the cecum and ascending colon: Thinsection helical CT findings[J]. AJR,1999,172(3):601-604.
6. YANG H R, HUANG H H, WANG Y C, et al. Management of right colon diverticulitis: A 10year experience[J]. World J Surg,2006,30(10):1929–1934.
7. PAPAZIOGAS B, MAKRIS J, KOUTELIDAKIS I, et al. Surgical management of cecal diverticulitis: is diverticulectomy enough?[J] Int J Colorectal Dis,2005,20(1):24-27.
8. HILDEBRAND P, KROPP M, STELLMACHER F, et al. Surgery for rightsided colonic diverticulitis: results of a 10yearobservation period[J]. Langenbecks Arch Surg,2007,392(2):143-147.

West China Medical Journal

Diagnosis and Treatment of Cecal Diverticulitis

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