Chronic diverticulitis with perforation and associated carcinoma of the cecum

Tolley, John A.

doi:10.1007/bf02617025

Cited by 15 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The information about the origin could not be identified for two articles [13,14]. Eighty articles (80/146, 54.8%) were published before 1980 [12–91] and 66 (66/146, 45.2%) after 1980 [2–4,7,9,11,92–151] (Figure 2, Appendix ).…”

Section: Resultsmentioning

confidence: 99%

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Uhe¹,

Meyer

Viviano

et al. 2021

Colorectal Disease

View full text Add to dashboard Cite

Aim Caecal diverticulitis (CD) is an uncommon condition which can be misdiagnosed as acute appendicitis due to similar clinical presentations. Further, its management varies among medical centres. The aim of this study was to review cases of patients with CD, to identify the factors differentiating CD from acute appendicitis and to provide a summary of existing diagnostic methods and therapeutic alternatives regarding its management. Methods This systematic review was conducted in accordance with the PRISMA guidelines and the AMSTAR2 checklist. We searched MEDLINE and Embase from inception until 1 October 2018 for original publications reporting cases of CD. Results Out of the 560 identified studies, 146 publications (988 patients) were included in the qualitative synthesis. Most frequent symptoms of CD were right iliac fossa pain (93.2%), nausea and/or vomiting (35.4%) and fever (26.9%). A total of 443 patients (44.8%) underwent radiological imaging, which reported CD in 225 patients (22.8%). For the other patients, the diagnosis was obtained by surgical exploration (73.9%). Among patients diagnosed with CD by imaging, 67 (29.8%) underwent surgery and 158 (70.2%) were treated conservatively. Among patients who underwent surgical exploration, treatment consisted most frequently of right hemi‐colectomy (33%), appendectomy (18.8%) and diverticulectomy with appendectomy (16.3%). Conclusion CD can be misdiagnosed as acute appendicitis, therefore resulting in unnecessary surgical exploration. The review of the literature starting from 1930 highlights the critical role of medical imaging in supporting the clinician to diagnose this condition and administer adequate treatment.

show abstract

Section: Resultsmentioning

confidence: 99%

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Uhe¹,

Meyer

Viviano

et al. 2021

Colorectal Disease

View full text Add to dashboard Cite

show abstract

“…To the best of our knowledge, this is the first reported case of perforation of a diverticulum in the sigmoid colon following endoscopic polypectomy within the diverticulum. There are nine reports in the literature regarding polyps and carcinomas arising within colonic diverticula 5 , 11 – 18. There has also been a report of a case of villous adenoma arising in Meckel’s diverticulum 19.…”

Section: Discussionmentioning

confidence: 99%

Perforation of sigmoid diverticulum following endoscopic polypectomy of an adenoma

Yang²,

Guo³

et al. 2010

Case Reports

View full text Add to dashboard Cite

show abstract

“…Mayo and Delaney 4 described the coexistence of colon cancer and diverticulitis, and two cases of carcinoma in diverticular abscesses have been reported. 5,6 The preoperative diagnosis in those two patients was colonic diverticular perforation, and it was presumed that the carcinomas had eroded through the diverticulum. However, it was suggested that special care should be taken with treatment of tumors located within or near a diverticulum.…”

Section: Discussionmentioning

confidence: 99%

Mucosal carcinoma within a colonic diverticulum

Kikuchi

Kotanagi

Kon

et al. 1999

Journal of Gastroenterology

View full text Add to dashboard Cite

We report a case of a mucosal carcinoma and adenoma within a diverticulum in the cecum. Radiographic, endoscopic, and pathologic evaluation of the tumor is presented. Surgical resection was undertaken because of the size and shape of the lesion, risk of perforation, and the possibility of malignancy. A recent review of the literature with respect to clinical signs, diagnosis, growth of the carcinoma, and treatment of tumors around or within diverticula is also presented. A carcinoma or adenoma arising within the diverticulum is very rare. Endoscopic resection of the tumor could entail the risk of perforation, because of the lack of muscular coats in the diverticula. Surgical treatment may be the procedure of choice for lesions near or within the diverticula.

show abstract

Chronic diverticulitis with perforation and associated carcinoma of the cecum

Cited by 15 publications

References 9 publications

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Perforation of sigmoid diverticulum following endoscopic polypectomy of an adenoma

Mucosal carcinoma within a colonic diverticulum

Contact Info

Product

Resources

About