Covered perforation of solitary cecal diverticulum: case report

Acute right lower abdominal pain is often clinically difficult to diagnose. The diagnosis, especially in young patients, is frequently oriented to appendicular disease. Surgical exploration only confirms diagnosis or surprises the surgeon, revealing an unexpected right colon diverticulitis. This eme...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2007-11, Vol.28 (11-12), p.432-434
Main Authors: Bianco, A, D'Ambra, L, Bonfante, P, Bianchi, C, Magistrelli, P, Berti, S, Giaquinto, D, Deidda, E, Falco, E
Format: Article
Language:Italian
Subjects:
Abdominal Pain - etiology
Adult
Cecal Diseases - complications
Cecal Diseases - surgery
Diverticulum, Colon - complications
Diverticulum, Colon - surgery
Humans
Intestinal Perforation - etiology
Intestinal Perforation - surgery
Laparoscopy
Male
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Summary:Acute right lower abdominal pain is often clinically difficult to diagnose. The diagnosis, especially in young patients, is frequently oriented to appendicular disease. Surgical exploration only confirms diagnosis or surprises the surgeon, revealing an unexpected right colon diverticulitis. This emergency condition challenges the surgeon with the dilemma about the best therapeutic choice: conservative or radical treatment? The elective localization of diverticulitis to the right colon is very rare (6.6-14%). The authors report a case of covered perforation of a solitary cecal diverticulum.
ISSN:0391-9005