Solitary ulcers and diverticulitis of the caecum

Anscombe, Anthony R.; Keddie, Nigel; Schofield, Philip F.

doi:10.1002/bjs.1800540613

Cited by 28 publications

(5 citation statements)

References 16 publications

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“…Many theories have been proposed to explain ulcer formation: a causative role of medications [4,5], stasis of the colonic contents in the cecum, an analogy between cecal and gastric ulcers [6], sequelae of cecal diverticulitis [7][8][9], and ischemia [10,11]. The pathological demonstration of vascular thrombosis in or adjacent to the ulcer, as in our case, may support the hypothesis of localized ischemia [12].…”

Section: Discussionsupporting

confidence: 71%

A Case Report of Idiopathic Cecal Ulcer Mimicking Cecal Cancer

et al. 2008

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Section: Discussionsupporting

confidence: 71%

A Case Report of Idiopathic Cecal Ulcer Mimicking Cecal Cancer

et al. 2008

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“…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

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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.

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“…In Western societies, symptomatic ACD has been reported to account for approximately 20% of all ACD, with 15-24% of cases requiring surgical treatment ( 12 , 13 ). Although 85% of cases of diverticulitis in Caucasians occur in the sigmoid and descending colon, diverticula may be found throughout the colon ( 14 , 15 ). In contrast, right-sided diverticulitis is more common in Asians ( 16 ), including Japanese, and tends to follow a more benign course than left-sided ACD ( 10 ).…”

Section: Discussionmentioning

confidence: 99%

Changes in the Clinical Features and Long-term Outcomes of Colonic Diverticulitis in Japanese Patients

et al. 2017

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Objective The purpose of this study was to investigate whether changes occurred in the clinical features of acute colonic diverticulitis (ACD) over a period of 10 years, to estimate the long-term probability of disease recurrence and to investigate whether it could be treated in an outpatient setting. Methods Between January 1998 and January 2009, 488 ACD patients were diagnosed and treated in Saiseikai Central Hospital, Tokyo. The diagnoses were made by ultrasonography (US) and/or CT. We investigated the time-dependent changes in the characteristics of patients with ACD, and we used the Kaplan-Meier method to estimate the cumulative probability of recurrence, based on information from a questionnaire. Results The percentage of patients who were diagnosed with left-sided ACD significantly increased over time in comparison to those with right-side disease (4% in 1998, 36% in 2009). Patients with left-sided ACD were significantly older and were diagnosed at a more advanced disease stage than those with right-sided ACD. Among the 212 ACD patients who responded to the questionnaire, the cumulative probability of recurrence in 125 patients with no history of ACD at 2.9, 5.9 and 10.1 years was 16.0%, 20.1% and 26.2%, respectively. The probability of recurrence in patients with right-sided and left-sided ACD did not differ to a statistically significant extent. In addition, outpatient treatability in patients with left-sided to right-sided ACD did not differ to a statistically significant extent (66.6% vs. 70.1%). Conclusion The ratio of left-sided to right-sided ACD was found to have increased over the past decade. Left-sided ACD patients were older and their incidence of complications was higher in comparison to right-sided patients; however, the rate of recurrence and outpatient treatability in patients with left-sided and right-sided ACD did not differ to a statistically significant extent.

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Solitary ulcers and diverticulitis of the caecum

Abstract: 553implications of the findings are discussed. Modifications of the traditional technique are suggested in order to utilize better the cumulative effect of repeated skin disinfection.Acknowledgements.-We wish to thank Messrs.

Cited by 28 publications

References 16 publications

A Case Report of Idiopathic Cecal Ulcer Mimicking Cecal Cancer

A Case Report of Idiopathic Cecal Ulcer Mimicking Cecal Cancer

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

Changes in the Clinical Features and Long-term Outcomes of Colonic Diverticulitis in Japanese Patients

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