Yildar Murat, Ozkan Omer Faruk, Caglayan Kasım, Ozkul Faruk, Cavdar Faruk, Saygın Ismail
Department of General Surgery, Medical School, University of Balıkesir, 10145 Balıkesir, Turkey.
Case Rep Surg. 2012;2012:789397. doi: 10.1155/2012/789397. Epub 2012 Feb 13.
Purpose. In the study presented, preoperative examinations and surgical methods were discussed along with literature, regarding two cases who were operated with the prediagnosis of acute appendicitis and for whom caecum diverticulitis was determined. Case 1. 21 years old male patient who had applied to hospital with complaint of abdominal pain, underwent an operation with a prediagnosis of acute appendicitis. Right hemicolectomy was performed with mass perioperatively determined in caecum. Histopathological examination revealed necrosis and inflammation in diverticulum wall. Case 2. 36 years old female patient applied to emergency department with abdominal pain and underwent an operation with a prediagnosis of acute appendicitis. Appendectomy and diverticulectomy were performed for whom inflame diverticula in caecum was determined perioperatively. Histopathological examination was revealed acute inflammation in diverticulum wall. Conclusion. Although solitary caecum diverticulitis is a rarely encountered disease, it must be considered in the differential diagnosis of right lower abdomen pain.
目的。在本研究中,结合文献讨论了两例术前诊断为急性阑尾炎但术后确诊为盲肠憩室炎患者的术前检查及手术方法。病例1。一名21岁男性患者因腹痛入院,术前诊断为急性阑尾炎并接受手术。术中发现盲肠有肿物,遂行右半结肠切除术。组织病理学检查显示憩室壁有坏死及炎症。病例2。一名36岁女性患者因腹痛到急诊科就诊,术前诊断为急性阑尾炎并接受手术。术中发现盲肠憩室发炎,遂行阑尾切除术及憩室切除术。组织病理学检查显示憩室壁有急性炎症。结论。尽管孤立性盲肠憩室炎是一种罕见疾病,但在右下腹痛的鉴别诊断中必须予以考虑。