[Solitary diverticulum of the cecum: experience of a Brazilian general hospital].
BACKGROUND
Cecal diverticulitis is a rare condition, specially in western people. Its importance concerns of being part of the differential diagnosis of acute appendicitis and ulcerated cecal carcinoma.


OBJECTIVE
To present the experience of southern Brazilian general hospital in the treatment of cecal diverticulitis.


METHODS
We present four cases of single inflamed cecal diverticulum. One was diagnosed by pre-operatively computer tomography and was treated medically without complications. The other three cases were diagnosed during operation and treated by right hemicolectomy and ileotransverse anastomosis.


RESULTS
There were no deaths or complications. When cecal diverticulitis is pre-operatively diagnosed it may be treated medically. We preclude laparotomy when the diagnosis is uncertain.


CONCLUSIONS
We recommend radical surgical management when the diagnosis is made during operation.
Chedid
Aljamir Duarte
AD
Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS. aljair@terra.com.br
Domingues
Luciano Amaral
LA
Chedid
Marcio Fernandes
MF
Villwock
Maitê de Mello
Mde M
Mondelo
Antônio Renato
AR
D000328:Adult; D001938:Brazil; D002429:Cecal Diseases / Q000175:diagnosis / Q000628:therapy*; D003937:Diagnosis, Differential; D004238:Diverticulitis / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged