Department of General Surgery, Ministry of Health, University of Health Science, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.
J Coll Physicians Surg Pak. 2022 Aug;32(8):1067-1069. doi: 10.29271/jcpsp.2022.08.1067.
Cecal diverticulitis is a rare cause of right lower-quadrant abdominal pain. As its symptoms mimic those of acute appendicitis, the final diagnosis in the patients is generally confirmed after surgery. Herein, we report a 45-year man who was admitted to the department of emergency with lower right abdominal pain. Cecal diverticulitis was diagnosed on computed tomography (CT) images, and a conservative treatment approach was recommended. He was hospitalised, and intravenous antibiotics and hydration were administered immediately. Oral feeding was interrupted. After five days of intensive medical care, the patient was discharged without any further complications. Based on my experience, I advise that CT can be used to differentiate cecal diverticulitis from the acute appendicitis. In uncomplicated cases, conservative approaches are advised. Key Words: Cecal diverticulitis, Computed tomography, Acute appendicitis, Conservative treatment.
盲肠憩室炎是右下腹痛的罕见病因。由于其症状类似于急性阑尾炎，因此患者的最终诊断通常在手术后确认。在此，我们报告一例 45 岁男性，因右下腹痛就诊于急诊科。腹部 CT 图像诊断为盲肠憩室炎，并建议采用保守治疗方法。患者住院后，立即给予静脉内抗生素和补液治疗。停止口服喂养。经过五天的强化医疗护理，患者无任何进一步并发症出院。根据我的经验，我建议 CT 可用于区分盲肠憩室炎和急性阑尾炎。在不复杂的情况下，建议采用保守治疗。关键词：盲肠憩室炎；计算机断层扫描；急性阑尾炎；保守治疗。
