Narno Rossi G, Piazzalunga D, Poletti E M, Testa M
Unità Operativa di Chirurgia Generale I, Ospedali Riuniti, Bergamo.
Minerva Chir. 2000 Apr;55(4):279-82.
Three cases of acute diverticulitis of the right colon are described and a review of the international literature about this rare disease is made. Diverticulitis of the ascending colon is an uncommon disease which mimics appendicitis or perforated neoplasm. The correct diagnosis is rarely made, but can be suggested by signs and symptoms and confirmed by the barium enema. It should be treated conservatively, like left-colon diverticulitis. Isolated diverticula can be managed by simple excision and primary closure. Local resection may be necessary if the involved area is too large. Right hemicolectomy is performed when carcinoma is strongly suspected.
本文描述了3例右半结肠急性憩室炎病例，并对有关这种罕见疾病的国际文献进行了综述。升结肠憩室炎是一种罕见疾病，症状类似阑尾炎或穿孔性肿瘤。正确诊断很少见，但可通过体征和症状提示，并经钡灌肠证实。应像左半结肠憩室炎一样进行保守治疗。孤立性憩室可通过简单切除和一期缝合处理。如果受累面积过大，可能需要局部切除。高度怀疑癌变时，应行右半结肠切除术。
