Hillemand P, Muller J M, Delavierre P, Vayre P
Sem Hop. 1976 Dec 16;52(43):2451-7.
The authors report 17 cases of colonic carcinoma associated with diverticulitis. They differentiate between carcinomas arising above and below the diverticular area and emphasise the coexistence of both diseases on the same segment of colon. The diagnosis may be made in two different circumstances depending on whether the association presents as diverticulosis or as diverticulitis with complications. Careful examination of the barium enema whenever possible is the basic factor in diagnosis. The operation is rendered more difficult by inflammatory phenomena or suppuration of the sigmoiditis and the prognosis is aggravated by cancer.
作者报告了17例与憩室炎相关的结肠癌病例。他们区分了憩室区域上方和下方发生的癌症,并强调两种疾病在结肠同一节段的共存情况。根据这种关联表现为憩室病还是伴有并发症的憩室炎,诊断可能在两种不同情况下做出。尽可能仔细检查钡灌肠是诊断的基本因素。乙状结肠炎的炎症现象或化脓会使手术变得更加困难,而癌症会使预后恶化。