[Cecal and right colonic perforation on a single or multiple diverticulum. Apropos of three new cases].
There are two types of cecal diverticula: in the first type, the diverticula are often multiple, and they really are false diverticula like in sigmoiditis. The second type, the so-called single type, is a frequently single diverticulum with a complete wall, which may have a congenital origin. Cecal diverticula are often expressed between 45 and 55 years of age by symptoms mimicking appendicitis. Two signs may suggest the diagnosis: the virtual absence of nausea and vomiting, and the long delay before the onset of pain. The surgical treatment, in case of acute complications (perforation, abscess), varies according to the surgical findings. In fact, if a pseudotumoral inflammatory mass is discovered, the correct diagnosis is established in 58% to 72% of all cases only. The treatment can therefore range from simple diverticulotomy to righ hemicolectomy.
Taziaux
P
P
Service de chirurgie, Clinique Château-rouge, Herstal-Liège, Belgique.
Pirenne
J P
JP
D000328:Adult; D000368:Aged; D002429:Cecal Diseases / Q000209:etiology* / Q000601:surgery; D003082:Colectomy; D003937:Diagnosis, Differential; D004241:Diverticulum, Colon / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged
Perforation caecale et colique droite sur diverticule unique ou multiple. A propos de trois nouvelles observations.