Diverticulitis des Coecum und Colon ascendens

Abstract

Right colon diverticulitis, representing 1-3.6% of cases of diverticular disease is an uncommon cause of right lower quadrant pain. Its presentation is difficult to distinguish from acute appendicitis. Patients are between 35 and 50 years old, have a history of 2-3 days of abdominal pain and few gastrointestinal symptoms. The diagnosis is best confirmed by computed tomography and colonoscopy. Conservative treatment is justified in uncomplicated disease, whereas perforations, abcesses and inflammatory tumors require resection. We describe the cases of six patients treated at our institution from 1991 to 1996. Presentation, geographic variations, diagnostic procedures and management are discussed.

Disease Course of Right- and Left-sided Diverticulitis in a Western Population

“…The 8% prevalence of RCD is in accordance with that reported in literature [24,27,36]. For comparison, this percentage varies between 60-90% in Asians with acute diverticulitis [4,30].…”

“…However, a high operative rate of RCD precludes knowledge on the natural disease course of RCD. Studies describing Caucasian RCD patients that were diagnosed after radiological imaging are even more scarce and compromise only a total of 81 patients [2,24,[26][27][28] (Table 1). Only one study compared LCD with RCD in Caucasian patients and concluded that RCD is associated with more complications than LCD [24].…”

Surgery for right-sided colonic diverticulitis: results of a 10-year-observation period

“…Furthermore, histopathologic examination showed that both pseudo-and real diverticula could be found in the right colon. This observation is also supported by other reported series [2]. Colon diverticula of the entire intestinal wall are congenital and therefore embryological factors have to be considered.…”

“…In Western countries, diverticulitis mostly affects the left colon and the incidence of right-sided diverticulitis is estimated below 4% [1][2][3][4][5][6]. However, in Asia and countries with high Asian population, diverticular disease of the cecum and the ascending colon is a more widespread disease than the left-sided form of this disease [9][10][11][12][13][14][15] ( Table 3).…”

“…The incidence is approximately 1-3.6% of all patients suffering from colonic diverticular disease [1][2][3][4][5][6]. Due to its low incidence in surgical collectives in Western countries, right-sided diverticulitis has seldom been discussed [7].…”