Divertículo do apêndice vermiforme

Nunes, Fernando Costa; Mattos, Marilles Porto; Silva, Alcino Lázaro da

doi:10.1590/s0100-69912004000500014

Cited by 1 publication

(1 citation statement)

References 3 publications

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“…The preoperative diagnosis is difficult 9 and infrequent, despite de use of radiological imaging. The diagnostic certainty is obtained only with the anatomopathological exam 16 . The differential diagnoses are: Crohn's disease, actinomycosis, perforation by a strange body, amebiasis, carcinoid tumor, tuberculosis, gastroenteritis, ureteral colic, ectopic pregnancy, ovarian cyst rupture, pelvic inflammatory disease and, especially, acute appendicitis 2,17 .…”

Section: Discussionmentioning

confidence: 99%

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%