1st Propedeutic Surgical Department, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.
Tech Coloproctol. 2011 Oct;15 Suppl 1:S43-5. doi: 10.1007/s10151-011-0730-4.
Caecal diverticula are rare, representing the 3.6% of colonic diverticula. They may have congenital origin and remain asymptomatic, presenting as an accidental finding. We present a case of a 42-year-old Caucasian woman, admitted with a 12-h history of sudden onset of sharp right iliac fossa pain, anorexia, and nausea. There was leukocytosis (23.49 × 10(3)/μl) and increased C-reactive protein (11.76 mg/dl). CT scan showed an inflamed appendix. At laparotomy, a diffuse caecal phlegmon with an inflammatory solitary caecal diverticula was found. A limited right hemicolectomy was performed. Histological examination confirmed the caecal diverticulitis without malignancy. Post-operative period was uneventful. Three months later, endoscopy showed no diverticula or other pathologies. Solitary caecal diverticulum is very rare, but surgeons must bear this in mind in case of pain in right iliac fossa.
盲肠憩室非常罕见，占结肠憩室的 3.6%。它们可能为先天性，且无症状，多为偶然发现。我们报告了 1 例 42 岁白人女性病例，因突发右髂窝疼痛 12 小时、食欲不振和恶心而入院。白细胞计数升高（23.49×10³/μl），C 反应蛋白增加（11.76mg/dl）。CT 扫描显示阑尾炎症。剖腹探查发现弥漫性盲肠积脓，伴有炎症性单发盲肠憩室。行右半结肠切除术。组织学检查证实为盲肠憩室炎，无恶性病变。术后恢复顺利。3 个月后，内镜检查未见憩室或其他病变。单发盲肠憩室非常罕见，但外科医生在遇到右髂窝疼痛时必须牢记这一点。
