Villalba Caballero R, Zaragoza Fernandez C, Villalba Caballero S, Davila Dorta D, Castano Conesa S, Olavarrieta Masdeu L, Navarro F, Domergue J
Hôpital Général Universitaire de Valence, Service de Chirurgie Générale et Digestive, Valencia, Espagne.
J Chir (Paris). 1995 Jun-Jul;132(6-7):299-304.
The natural history of colonic diverticulitis rarely includes acute solitary localization in the cecum. Complications are even more rarely seen. We report retrospectively nine cases seen in our unit. There were 5 males and 4 females, mean age 54 years. The patients presented with a more or less painful abdomen with localization in the right iliac region and signs of peritoneal irritation. Physical examination revealed a painful mass in this zone. Fever and hyperleukocytosis were not found in all patients. Barium enema demonstrated signs of pseudocompression of the cecum in four cases suggesting a tumoral formation in two and diverticulitis in the two others. A right hemicolectomy was performed in five patients as peroperative pathological diagnosis could not be ascertained on the macroscopic specimen. Diverticulectomy in the four other patients was unsuccessful in direct relation with the disease course and late diagnosis.
结肠憩室炎的自然病程很少包括盲肠急性孤立性病变。并发症更是罕见。我们回顾性报告了在我们科室所见的9例病例。其中男性5例，女性4例，平均年龄54岁。患者均有程度不一的腹痛，疼痛部位在右髂区，并伴有腹膜刺激征。体格检查发现该区域有压痛性肿块。并非所有患者均有发热和白细胞增多。钡剂灌肠检查显示4例盲肠有假性压迫征象，其中2例提示肿瘤形成，另2例提示憩室炎。5例患者因术中无法根据大体标本确定病理诊断而行右半结肠切除术。另外4例患者因疾病病程及诊断延迟，憩室切除术未成功。
