Gharaibeh K I, Shami S K, Al-Qudah M S, Farah G R, Al-Omari A, Qasaimeh G, Abalkhail A
Princess Basma Teaching Hospital, University of Science of Technology, Irbid, Jordan.
Int Surg. 1995 Jul-Sep;80(3):218-22.
Nine patients (six females and three males), median age = 27.5 years (range 13-36) with caecal diverticulitis are presented. All underwent surgery with a suspected diagnosis of acute appendicitis. Per-operative diagnosis was possible in five cases, two cases were thought to have other benign pathology, but malignancy could not be excluded in the remaining two cases. Local excision was carried out in five cases, a right hemicolectomy was performed in the rest. Histology showed true diverticuli in eight cases, severity of the inflammation made it difficult to comment on the ninth case. Postoperative barium enema was carried out in six cases, which showed no further diverticuli in the colon. We conclude that preoperative diagnosis of caecal diverticulitis is difficult, and that true solitary caecal diverticuli present in a younger age group than the false caecal and ascending colon diverticuli and that they are probably congenital in origin.
本文报告了9例盲肠憩室炎患者（6例女性，3例男性），中位年龄27.5岁（范围13 - 36岁）。所有患者均因疑似急性阑尾炎接受手术。5例术中得以确诊，2例被认为患有其他良性病变，但其余2例无法排除恶性肿瘤的可能。5例行局部切除，其余行右半结肠切除术。组织学检查显示8例为真性憩室，第9例因炎症严重难以判断。6例行术后钡剂灌肠，结果显示结肠未见其他憩室。我们得出结论，盲肠憩室炎术前诊断困难，真性孤立性盲肠憩室比假性盲肠和升结肠憩室出现的年龄更小，且可能起源于先天性。
