Divertículo único do ceco: experiência de um hospital geral brasileiro

Chedid, Aljamir Duarte; Domingues, Luciano Amaral; Chedid, Marcio; Villwock, Maitê de Mello; Mondelo, Antônio Renato

doi:10.1590/s0004-28032003000400004

Cited by 4 publications

(7 citation statements)

References 15 publications

(12 reference statements)

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“…The (false) left colon diverticulosis occurs predominantly in the sigmoid and affects the western population more often 9,14,15 , while the (true) right colon diverticulosis occurs predominantly in the cecum and affects the young population and descendants of Asians more often 1,9 . Cecal diverticulitis is rare in western population, but it is prevalent in Asian countries.…”

Section: Discussionmentioning

confidence: 99%

“…A case has been reported of cecal diverticulitis initially causing pain in the periumbilical region, and the patient presented recurrent abdominal pain for six months, without alteration to bowel habits or systemic toxic signs 3 , compatible with the clinical condition suggested for cecal diverticulitis. The blood test may show elevated white blood cell count 1,9 . However, in our case, no alteration was observed in the absolute number of leucocytes.…”

Section: Discussionmentioning

confidence: 99%

“…In this report, only ultrasonography suggested that it was cecal diverticulitis. When the diagnosis of cecal diverticulitis is secured, antibioticotherapy can be applied in patients without signs of peritonitis 1,9,20,21 . As the right colonic diverticulitis is benign, the conservative treatment with minimal surgical intervention should be the best therapeutic option 10 .…”

Section: Discussionmentioning

confidence: 99%

“…Cecal diverticulitis is a rare condition 1,2,3 , with prevalence of 0.004 to 2.1% 4 , affecting more often the Asian people 3,5,6 and their descendants 1,7,8 . The first description was reported in 1863 3 .…”

Section: Introductionmentioning

confidence: 99%

“…The first description was reported in 1863 3 . The preoperative diagnosis is difficult, as its signs and symptoms can be confused with the signs and symptoms of acute appendicitis 1,5,7,[9][10][11][12] . Consequently, the diagnosis is most of the times during the surgery 2,9,11-13 and confirmed only with an anatomopathological exam 1 .…”

Section: Introductionmentioning

confidence: 99%

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Cecal diverticulitis or appendicitis. When should I suspect? A case report

Pastore¹,

Lenza²,

Rodrigues³

et al. 2012

J. Coloproctol. (Rio J.)

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Pastore R, Lenza RM, Rodrigues FB, Tostes LV, Guerra NC, Crema E. Cecal diverticulitis or appendicitis. When should I suspect? A case report. J Coloproctol, 2011;32(2): 180-183. ABSTRACT :The objective of this article was to report a case of cecal diverticulitis and point out the differential diagnosis of acute appendicitis. The clinical manifestations of these pathological conditions are similar, and the accurate diagnosis of cecal diverticulitis before the surgery is difficult. Therefore, most diagnoses are made during the surgery. Moreover, cecal diverticulum is uncommon in western countries, but it is prevalent in Asian people and their descendants. We report a case of a 55-year-old female patient, whose imaging exams (ultrasonography and computed tomography) and blood tests were not enough to diagnose the affection, requiring laparotomy and pathological exams for the final diagnosis. Some studies suggesting the best practice in case of diverticulum of the cecum were revised, as the diagnosis usually occurs during the surgery.Keywords: appendicitis; diverticulitis; cecum; diverticulum. RESUMO:O objetivo deste trabalho foi relatar um caso de diverticulite no ceco e chamar a atenção para o diagnóstico diferencial com apendicite aguda. As manifestações clínicas das duas afecções são semelhantes, dificultando o diagnóstico exato de diverticulite cecal, além de ser incomum, em nosso meio, o aparecimento de divertículo em cólon direito, sendo essa entidade mais comum em asiáticos e em seus descendentes. Relata-se atendimento a uma paciente de 55 anos, cujos exames de imagem (ultrassonografia e tomografia computadorizada) e de sangue não foram suficientes para o diagnóstico. Houve necessidade de realizar-se laparotomia exploradora e exames anatomopatológicos para a confirmação. Também foram revisados alguns trabalhos que sugerem qual a melhor conduta a ser tomada quando se encontra divertículo cecal no perioperatório, já que, na maioria das vezes, o diagnóstico é feito neste momento.Palavras-chave: apendicite; diverticulite; ceco; divertículo.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cecal diverticulitis or appendicitis. When should I suspect? A case report

Pastore¹,

Lenza²,

Rodrigues³

et al. 2012

J. Coloproctol. (Rio J.)

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Solitary Cecal Diverticulitis: An Unusual Cause of Acute Right Iliac Fossa Pain—A Case Report and Review of the Literature

Mudatsakis

Nikolaou

Krithinakis

et al. 2014

Case Reports in Surgery

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Solitary cecal diverticulitis is a rare cause of acute abdominal pain in the Western world. Its clinical presentation, in most cases, mimics acute appendicitis. A 38-year-old Caucasian man presented with acute abdomen and clinical signs of acute appendicitis. Laparotomy was performed and revealed an inflammatory, solitary diverticulum of the cecum. A typical appendectomy was performed and a catheter was inserted for draining percutaneously the inflamed diverticulum of the cecum. The patient had an uneventful recovery and was discharged on the 4th postoperative day. This frequently misdiagnosed condition, in most cases, is being suspected and identified intraoperatively as acute appendicitis. The aim of this study is to review the available different surgical management options and to present an alternative therapeutic approach that may be valuable under specific circumstances.

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Inflammation and perforation of a solitary diverticulum of the cecum: A report of 5 cases and literature review

Ruíz-Tóvar¹,

Reguero-Callejas²,

Palacios³

2006

Rev. esp. enferm. dig.

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Solitary diverticulum of the cecum is a benign condition uncommon in the Western world, and with a higher incidence in Asian population. They are usually asymptomatic, and manifest clinically only with complications such as inflammation, perforation, or bleeding. They are a rare cause of acute abdominal pain, clinically similar to acute appendicitis, with tenderness in the right lower quadrant, fever, and leukocytosis. In spite of the information provided by ultrasonography or CT scans, a correct preoperative diagnosis is still difficult to reach, and is usually arrived at in the operating theater; differentiation from a neoplasm may be also sometimes complicated, and a wide surgical resection is usually required for such cases. We report on 5 cases of inflammation and perforation of a solitary cecal diverticulum, and perform a literature review.

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Divertículo único do ceco: experiência de um hospital geral brasileiro

Cited by 4 publications

References 15 publications

Cecal diverticulitis or appendicitis. When should I suspect? A case report

Cecal diverticulitis or appendicitis. When should I suspect? A case report

Solitary Cecal Diverticulitis: An Unusual Cause of Acute Right Iliac Fossa Pain—A Case Report and Review of the Literature

Inflammation and perforation of a solitary diverticulum of the cecum: A report of 5 cases and literature review

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