[Present state in the surgical treatment of acute cecal diverticulitis].
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.
Lada
Paul E
PE
Servicio de Guardia del Hospital Nacional de Clínicas, Facultad de Ciencias Medicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
Martinessi
Victor
V
Montenegro
Rolando
R
Dutari
Christian
C
Florez Nicolini
Francisco
F
Gramática
Luis
L
Diyorio
Gustavo
G
Vaca
Abel
A
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