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KMID : 0356720040200050251
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Journal of the Korean Society of Coloproctology
2004 Volume.20 No. 5 p.251 ~ p.256
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Management of Cecal Diverticulitis
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Sung Jong-Je
Song Dan
Hong Gaun-Yue
Park Nae-Kyeong
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Abstract
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Purpose: Diverticular disease of the cecum and ascending colon is a relatively uncommon disease, and is often difficult to diagnose. The purpose of this study was to investigate the clinical features of patients who underwent surgical treatment for cecal diverticulitis.
Methods: A retrospective review was conducted between January 1998 and December 2002 of 44 patients treated at the Department of Surgery, Soonchunghyang Gumi Hospital.
Results: All patients presented with right lower quadrant pain and tenderness.
Preoperatively, 34 patients were diagnosed with acute appendicitis. The surgical procedures for cecal diverticulitis were an appendectomy only (5 cases), a diverticulectomy with appendectomy (31 cases), and a right hemicolectomy
(8 cases). Postoperative complications were found in 17 cases: wound infection (13 cases), and partial intestinal obstruction (2 cases).
Conclusions: When cecal diverticulitis is found at the time of an operation, surgical management is a safe treatment with low morbidity and a low recurrence rate. A diverticulectomy with appendectomy is a safe and effective procedure for the treatment
of cecal diverticulitis if there is no evidence of free perforation or abscess formation. If the diverticulitis is complicated, undistinguishable from a malignancy, a resection
(ileocecal resection, right hemicolectomy) should be considered for the surgical treatment. J Korean Soc Coloproctol 2004;20:251-256
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KEYWORD
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Diverticulitis, Cecal
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