Management of Right Colon Diverticulitis: A 10‐Year Experience

Yang, Horng Ren; Huang, Hung Chang; Wang, Yu Chun; Hsieh, Chieh; Chung, Ping Kuei; Jeng, Long Bin; Chen, Ray Jade

doi:10.1007/s00268-005-0746-x

Cited by 55 publications

(57 citation statements)

References 23 publications

(50 reference statements)

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“…If recurrence is high and complications frequent, surgical resection is essentially required. However, after successful conservative treatment, a recurrence rate of 3.6% to 23.8% has been reported in the literature [5,7,8,20,21,30] . Ngoi et al [31] reported a recurrence rate of 1.5%, but 38% of their patients underwent diverticulectomy.…”

Section: Discussionmentioning

confidence: 99%

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Image-guided conservative management of right colonicdiverticulitis

Park¹,

Choi²,

Lee³

et al. 2009

WJG

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AIM:To study the clinical outcomes of medical therapy in patients with right colonic diverticulitis. METHODS:The records of 189 patients with right colonic diverticulitis which was finally diagnosed by computed tomography, ultrasonography, or operative findings were retrospectively reviewed. RESULTS:Of the 189 patients hospitalized for right colonic diverticulitis, the stages of diverticulitis by a modified Hinchey classification were 26 patients (13.8%) in stage 0, 139 patients (73.5%) in stage Ⅰ a, 23 patients (12.2%) in stage Ⅰb, and 1 patient (0.5%) in stage Ⅲ. Medical therapy was undertaken in 185 of 189 patients (97.9%). One hundred and eighty three of 185 patients were successfully treated with bowel rest and antibiotics. Two patients in stage Ⅰb required a resection or surgical drainage because of an inadequate response to conservative treatment. Recurrent diverticulitis developed in 15 of 183 patients (8.2%) who responded to medical therapy. All 15 patients who suffered a second attack had uncomplicated diverticulitis, and were successfully treated with medical therapy. CONCLUSION:Our results indicate that right colonic diverticulitis is essentially benign and image-guided conservative treatment is primarily required.

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Section: Discussionmentioning

confidence: 99%

“…To date, no therapeutic guidelines for patients with right colonic diverticulitis have been established [3,[6][7][8][9][19][20][21] . In contrast, practice parameters for the treatment of left colonic diverticulitis do exist [17] .…”

Section: Discussionmentioning

confidence: 99%

Image-guided conservative management of right colonicdiverticulitis

Park¹,

Choi²,

Lee³

et al. 2009

WJG

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“…La diverticulitis del colon derecho (DCD) frecuentemente es diagnosticada de forma errónea como apendicitis aguda, pudiendo además, simular otras enfermedades como el cáncer de colon derecho, colecistitis o enfermedad úlcero-péptica 3,6 . La frecuencia reportada de esta enfermedad varía desde 1:34 a 1:300 apendicectomías 7 . Se presenta habitualmente con dolor abdominal derecho o generalizado, en la mayoría de los reportes con 2 días o más de evolución, sin la migración típica desde el epigastrio como en la apendicitis, y con baja frecuencia de síntomas y signos generales con náuseas, vómitos, anorexia, fiebre o leucocitosis 7 .…”

Section: Discussionunclassified

“…La frecuencia reportada de esta enfermedad varía desde 1:34 a 1:300 apendicectomías 7 . Se presenta habitualmente con dolor abdominal derecho o generalizado, en la mayoría de los reportes con 2 días o más de evolución, sin la migración típica desde el epigastrio como en la apendicitis, y con baja frecuencia de síntomas y signos generales con náuseas, vómitos, anorexia, fiebre o leucocitosis 7 . En nuestro caso la presentación clínica asociada a la palpación de una tumoración en el hipocondrio derecho llevó a un diagnóstico presuntivo de una Colecistitis Aguda.…”

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Diverticulitis de la flexura hepática del colon

Pugliese¹,

Viscido²,

Picón-Molina³

et al. 2013

Rev Chil Cir

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Colonic hepatic flexure diverticulitisObjective: Right colon diverticulitis is a rare entity in our means. Frequently, this entity is mistaken for other abdominal conditions, usually appendicitis, right colon cancer or acute cholecystitis. We found no specific reports about their location in the hepatic flexure of the colon. Material and Method: 58-years-old male who consulted the emergency department with abdominal pain and palpable mass in right upper quadrant. Abdominal CT revealed diverticulitis of the hepatic flexure of the colon. Results: Successful outcome with medical treatment. The patient is asymptomatic at 3 months of follow. Conclusion: Diverticulitis of the hepatic flexure of the colon is a rare entity that can mimic other diseases and usually responds to conservative treatment.Key words: Diverticulitis, right colon, medical treatment. ResumenIntroducción: La diverticulitis del colon derecho es una entidad poco frecuente en nuestro medio. Con relativa frecuencia, esta entidad es confundida con otros procesos abdominales, habitualmente apendicitis, cáncer de colon derecho o colecistitis aguda. No encontramos reportes específicos sobre su localización en la flexura hepática del colon. Material y Método: Varón 58 años quien consultó en urgencias por dolor abdominal y masa palpable en hipocondrio derecho. Se realiza TC abdominal que revela diverticulitis del ángulo hepático del colon. Resultados: buena evolución con tratamiento médico; el paciente se encuentra asintomático a tres meses del alta. Conclusión: La diverticulitis del ángulo hepático del colon es una entidad poco habitual, que puede simular otras patologías y que habitualmente responde al tratamiento conservador.Palabras clave: Diverticulitis, colon derecho, tratamiento médico.

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Acute right‐sided colonic diverticulitis mimicking appendicitis: A report of two cases

Kahveci

Tokmak

Yıldırım

et al. 2012

J of Clinical Ultrasound

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We describe two right-sided diverticulitis cases that presented with marked right iliac fossa tenderness with guarding and rebound and laboratory parameters resembling acute appendicitis. The imaging findings suggested diverticulitis in both cases. One of the patients underwent surgery and the other one was followed up with medical treatment. Awareness of these imaging findings may aid in the diagnosis of right-sided diverticulitis, which is frequently misdiagnosed and mistreated.

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Management of Right Colon Diverticulitis: A 10‐Year Experience

Cited by 55 publications

References 23 publications

Image-guided conservative management of right colonicdiverticulitis

Image-guided conservative management of right colonicdiverticulitis

Diverticulitis de la flexura hepática del colon

Acute right‐sided colonic diverticulitis mimicking appendicitis: A report of two cases

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