Kaya Cemal, Celayir Mustafa Fevzi, Bozkurt Emre, Omeroglu Sinan, Guven Onur, Mihmanli Mehmet
SBU Sisli Hamidiye Etfal Research and Education Hospital General Surgery Clinic Sisli Istanbul.
General Surgery Clinic, University of Health Sciences, Sisli Hamidiye Etfal Education & Research Hospital, Turkey.
J Pak Med Assoc. 2020 Nov;70(11):1926-1929. doi: 10.5455/JPMA.12674.
To evaluate the treatment options applied to solitary caecal diverticulitis patients, and to explore the possibility of non-operative treatments.
The retrospective study was conducted a tertiary referral centre, and comprised data of patients who presented with acute abdominal pain and were diagnosed either preoperatively or intraoperatively as cases of solitary caecal diverticulitis between January 2009 and December 2017. Data on demographics, physical examination findings, laboratory results, treatment modalities and outpatient clinical records was noted, and analysed analysed using SPSS 21.
Of the 580 patients whose medical records were reviewed, 11(1.89%) were diagnosed as cases of solitary caecal diverticulitis. Of them, 6(54.5%) patients were treated conservatively, and 5(45.4%) surgically. The disease recurred in 1(9%) patient who was treated conservatively. Among those treated surgically, 1(20%) patient had hemicolectomy, and the rest had appendectomy and/or diverticulectomy and drainage procedures. There were no major complications during the follow- up.
With accurate diagnosis during preoperative period, the spread of the pathology helps to choose the best suitable surgical technique. Appendectomy should be performed to avoid future diagnostic confusion.
评估应用于孤立性盲肠憩室炎患者的治疗方案，并探讨非手术治疗的可能性。
在一家三级转诊中心进行回顾性研究，纳入2009年1月至2017年12月期间因急性腹痛就诊且术前或术中诊断为孤立性盲肠憩室炎的患者数据。记录患者的人口统计学资料、体格检查结果、实验室检查结果、治疗方式及门诊临床记录，并使用SPSS 21进行分析。
在审查病历的580例患者中，11例（1.89%）被诊断为孤立性盲肠憩室炎。其中，6例（54.5%）患者接受保守治疗，5例（45.4%）接受手术治疗。1例（9%）接受保守治疗的患者疾病复发。接受手术治疗的患者中，1例（20%）行半结肠切除术，其余患者行阑尾切除术和/或憩室切除术及引流手术。随访期间无重大并发症发生。
术前准确诊断，根据病变范围有助于选择最合适的手术技术。应行阑尾切除术以避免未来诊断混淆。
