Giuffrida M C, Gelarda E, Mezzatesta P, Macaluso A, Siragusa G
Dipartimento di Discipline Chirurgiche e Anatomiche, Università degli Studi, Palermo.
Minerva Chir. 1997 Dec;52(12):1503-12.
Diverticula are localized in the right colon with a rate of 6.7-14% in Western countries. Two types of diverticula have been described in the right colon, on the basis of etiologic and pathological features: multiple diverticula and solitary diverticulum of the caecum. The most common clinical presentation of the right-sided colonic diverticula is an acute inflammatory complication, which is difficult to distinguish from other causes of right iliac fossa pain.
A survey of the literature is presented and personal experience relative to 4 cases of acute diverticulitis of the right colon observed over a 10-year period is described.
In all the patients the preoperative diagnosis was acute appendicitis. In two cases the poor clinical conditions of the patients were associated with the free perforation of a solitary caecal diverticulum and diffuse faecal peritonitis. A temporary caecostomy was therefore required. In two cases a localized inflammatory mass was found around a perforated solitary diverticulum of the caecum. An ileocaecal resection was performed.
The purpose of this study is to emphasize the epidemiological, etiologic and clinical features of right-sided colonic diverticula, and the diagnostic and therapeutic management of their complications.
憩室在西方国家右半结肠的发生率为6.7% - 14%。根据病因和病理特征，右半结肠存在两种类型的憩室：多发憩室和盲肠单发憩室。右侧结肠憩室最常见的临床表现是急性炎症并发症，这很难与右下腹疼痛的其他病因相区分。
本文对相关文献进行了综述，并描述了作者在10年期间观察到的4例右半结肠急性憩室炎的个人经验。
所有患者术前均诊断为急性阑尾炎。2例患者因盲肠单发憩室游离穿孔和弥漫性粪性腹膜炎导致病情较差，因此需要进行临时盲肠造口术。另外2例患者在盲肠穿孔单发憩室周围发现局限性炎性包块，行回盲部切除术。
本研究的目的是强调右侧结肠憩室的流行病学、病因学和临床特征，以及其并发症的诊断和治疗方法。
