Fontana D, Della Beffa V, Leli R
Chirurgia B, Ospedale G. Bosco, Torino.
Minerva Chir. 1994 Oct;49(10):1005-7.
The diverticulum of the right colon is a rare disease in Western Countries but is very common in Eastern races. The etiology is usually congenital in the lesions limited to the cecum (true diverticulum). The diagnosis is rarely made preoperatively. The most useful help is from CT and US. Because the clinical features suggest an acute appendicitis, in most cases of appendicectomized patients the intervention is made without any other investigations. At laparotomy, when the diverticulum is surely identified, a conservative treatment is recommended (diverticulectomy or invagination). If there are some doubts an ileo-colic resection is more opportune. After recovery it is useful to study the colon with an Rx clisma.
右半结肠憩室在西方国家是一种罕见疾病，但在东方人种中非常常见。病因通常是先天性的，病变局限于盲肠（真性憩室）。术前很少能做出诊断。最有用的辅助检查是CT和超声。由于临床特征提示急性阑尾炎，在大多数行阑尾切除术的患者中，在未进行任何其他检查的情况下就进行了干预。在剖腹手术中，当憩室被明确识别时，建议采取保守治疗（憩室切除术或肠套叠术）。如果存在疑问，回结肠切除术更为合适。恢复后，进行钡剂灌肠X线检查来研究结肠是有帮助的。
