Tocchi A, Mazzoni G, Liotta G, Lepre L, Costa G, Agostini N, Miccini M
Istituto di I Clinica Chirurgica, Università degli Studi La Sapienza di Roma.
G Chir. 1998 Jun-Jul;19(6-7):301-3.
Twenty-three cases of acute solitary diverticulitis of the cecum are reviewed. Cecal diverticulitis continued to be almost indistinguishable from acute appendicitis although longer duration of symptoms and lesser incidence of nausea and vomit are reported. A correct preoperative diagnosis is then seldom performed. On the basis of this experience appendectomy is recommended when diverticulitis is diagnosed in order to avoid further clinical complications. If a carcinoma cannot be completely ruled out or an abscess or rupture is present, then a right colectomy should be performed.
回顾了23例盲肠急性孤立性憩室炎病例。尽管有报道称症状持续时间较长且恶心呕吐发生率较低，但盲肠憩室炎仍几乎与急性阑尾炎难以区分。因此术前很少能做出正确诊断。基于这一经验，建议在诊断为憩室炎时进行阑尾切除术，以避免进一步的临床并发症。如果不能完全排除癌症或存在脓肿或破裂，则应进行右半结肠切除术。
