title: [Present state in the surgical treatment of acute cecal diverticulitis].
abstract: BACKGROUND
  Cecal acute diverticulitis is a rare disease with symptoms similar to acute appendicitis and is therefore difficult to diagnose.
  
  
  OBJECTIVE
  To evaluate therapeutical conduct according to clinical for ms of presentation and the intraoperative findings.
  
  
  METHODS
  Emergency Service of Clinical National Hospital. U.N.C. (Cordoba National University), and the ABC group.
  
  
  METHODS
  Retrospective observation.
  
  
  METHODS
  Twenty-four patients with cecal diverticulitis were treated surgically, of which seventeen were men and seven were women with an average age of 47 years. The first group was formed with 16 patients and the second with 8. All patients presented abdominal pain, fever, nausea and vomiting when they were admitted, but one showed enterorrhagia and 2 abdominal distention and ileus. Physical examination produced pain and tenderness in RLQ, but in 6 peritoneum was not involved and in 4 a tumor was palpable in that region. Two patients, had a perforating acute abdominal condition.
  
  
  RESULTS
  Sixteen right hemicolectomies were performed. In the remaining eight a cecostomy was decided. One patient died due to TEPA (Acute pulmonary thromboembolism). Abdominal wall abscesses appeared in six patients, and in four of them an incisional middle hernia appeared in postoperative period.
  
  
  CONCLUSIONS
  We consider that in those patients presenting serious problems in deciding whether the inflammatory condition was benign or malignant, or when perforated cecal diverticulum with vascular compromise and subsequent cecal wall necrosis has been suspected, we believe that the resection is the best treatment.
authors.affiliation: Servicio de Guardia del Hospital Nacional de Clínicas, Facultad de Ciencias Medicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
authors.forename: Paul E
authors.initials: PE
authors.lastname: Lada
authors.forename: Victor
authors.initials: V
authors.lastname: Martinessi
authors.forename: Rolando
authors.initials: R
authors.lastname: Montenegro
authors.forename: Christian
authors.initials: C
authors.lastname: Dutari
authors.forename: Francisco
authors.initials: F
authors.lastname: Florez Nicolini
authors.forename: Luis
authors.initials: L
authors.lastname: Gramática
authors.forename: Gustavo
authors.initials: G
authors.lastname: Diyorio
authors.forename: Abel
authors.initials: A
authors.lastname: Vaca
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D002429:Cecal Diseases / Q000601:surgery*; D004238:Diverticulitis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome