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盲肠憩室炎是一种具有挑战性的诊断:3例报告。

Cecal diverticulitis is a challenging diagnosis: a report of 3 cases.

作者信息

Kyziridis Dimitrios S, Parpoudi Styliani N, Antoniou Nikolaos D, Konstantaras Dimitrios Ch, Moysidis Moysis G, Christoforidis Emmanuel Ch, Tsalis Konstantinos G

机构信息

4th Department of Surgery, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

Am J Case Rep. 2015 Apr 8;16:206-10. doi: 10.12659/AJCR.892848.

Abstract

BACKGROUND

Cecal diverticulitis is an uncommon cause of acute abdominal pain and presents clinically similar to acute appendicitis. There are many perspectives concerning the management of this condition, ranging from different types of surgical resections to conservative treatment with antibiotics.

CASE REPORT

We present 3 cases of cecal diverticulitis. One of the patients was treated conservatively with intravenous antibiotics and the other 2 were treated with surgical resection.

CONCLUSIONS

Conservative treatment with intravenous antibiotics can be used in uncomplicated cecal diverticulitis. Complicated cecal diverticulitis is managed surgically and the type of resection depends mainly on the extent of inflammation.

摘要

背景

盲肠憩室炎是引起急性腹痛的罕见病因,临床表现与急性阑尾炎相似。关于该疾病的治疗有多种观点,从不同类型的手术切除到抗生素保守治疗。

病例报告

我们呈现3例盲肠憩室炎病例。其中1例患者接受静脉抗生素保守治疗,另外2例接受手术切除治疗。

结论

静脉抗生素保守治疗可用于非复杂性盲肠憩室炎。复杂性盲肠憩室炎采用手术治疗,切除类型主要取决于炎症范围。

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