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Diverticulitis of the cecum and ascending colon

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Diseases of the Colon & Rectum

Abstract

Twelve cases of acute solitary diverticulitis of the cecum or ascending colon are reviewed. This is frequently indistinguishable from acute appendicitis preoperatively and is often mistaken for carcinoma at laparotomy. There are subtle clinical features that may help to suggest the diagnosis both before and during surgery. If diagnosed preoperatively, it can be treated effectively with broad spectrum antibiotics without surgical intervention. When diagnosed intraoperatively, hemicolectomy can often be avoided. Appendectomy should be done if resection is not performed.

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References

  1. Solitary diverticulum of the cecum. Br Med J 1968;4:659–60.

  2. Bahaborzorgui S, Demuth W, Blakemore W. Diverticulitis of the ascending colon. Am J Surg 1968;115:295–300.

    Article  Google Scholar 

  3. Unger H. Solitary diverticulitis of the cecum. Am J Surg 1953; 85:780–5.

    Article  PubMed  CAS  Google Scholar 

  4. Vaughn A, Narsete E. Diverticulitis of the cecum. Arch Surg 1952;65:763–9.

    CAS  Google Scholar 

  5. Mears T, Judd E, Martin J. Diverticulitis of the right side of the colon with report of a case of diverticulitis of the hepatic flexure. Mayo Clin Proc 1954;29:410–5.

    PubMed  CAS  Google Scholar 

  6. Miangolarra C. Diverticulitis of the right colon. Ann Surg 1961;153:861–9.

    Article  PubMed  CAS  Google Scholar 

  7. Wagner D, Zollinger R. Diverticulitis of the cecum and ascending colon. Arch Surg 1961;83:124–31.

    Google Scholar 

  8. Beranbaum S, Zausner J, Lane B. Diverticular disease of the right colon. AJR 1972;115:334–48.

    CAS  Google Scholar 

  9. Degenshein G. Diverticulitis of the right colon. Arch Surg 1958;76:564–8.

    CAS  Google Scholar 

  10. Lauridsen J, Ross F. Acute diverticulitis of the cecum. Arch Surg 1952;64:320–31.

    CAS  Google Scholar 

  11. Magness L, Van Heerden J, Judd E. Diverticular disease of the right colon. Surg Gynecol Obstet 1975;140:30–2.

    PubMed  CAS  Google Scholar 

  12. Nicholas E, Frymark W, Raffensperger S. Acute cecal diverticulitis. JAMA 1962;182:157–60.

    PubMed  CAS  Google Scholar 

  13. Schnug E. Acute diverticulitis of the cecum. Surgery 1943;13:282–9.

    Google Scholar 

  14. Greany E, Snyder W. Acute diverticulitis of the cecum encountered at emergency surgery. Am J Surg 1957;94:270–81.

    Article  Google Scholar 

  15. Anderson L. Acute diverticulitis of the cecum. Surgery 1947; 22:479–88.

    CAS  PubMed  Google Scholar 

  16. Nissenbaum J, Sparks J, Ellison G. Cecal diverticulum. AJR 1955;73:598–604.

    Google Scholar 

  17. Anderson L. Perforated diverticula of the cecum with peritonitis. Mayo Clinic Proc 1947;21:465–9.

    Google Scholar 

  18. Arrington P, Judd C. Cecal diverticulitis. Am J Surg 1981; 142:56–60.

    Article  PubMed  CAS  Google Scholar 

  19. Peck DA, Labat R, Waite VC. Diverticular disease of the right colon. Dis Colon Rectum 1968;11:49–54.

    PubMed  CAS  Google Scholar 

  20. Rigler R, Cherry J. Diverticulitis of the cecum: preoperative diagnosis. Am Surg 1960;26:405–8.

    Google Scholar 

  21. Anscombe A, Keddie N, Schofield P. Solitary ulcers and diverticulitis of the cecum. Br J Surg 1967;54:553–7.

    PubMed  CAS  Google Scholar 

  22. Bahadoran H. Diverticulite du caecum. Chirurgie 1977;103: 293–300.

    PubMed  CAS  Google Scholar 

  23. Godquin B. Diverticulite caecale revelee par une perforation. Chirurgie 1974;100:407–12.

    PubMed  CAS  Google Scholar 

  24. Lagache G, Combemale B, Richet F, Bahon le Capon S. Suppurations rétropéritonéales secondaires à la perforation d'un diverticule isolé du caecum. Chirurgie 1977;103:301–4.

    PubMed  CAS  Google Scholar 

  25. Laimon H, Cohn P. Diverticulitis of the cecum. Am J Surg 1962;103:146–9.

    Article  PubMed  CAS  Google Scholar 

  26. Millburn L. Massive hemorrhage and, a solitary cecal diverticulum. Georgetown Med Bull 1963;17:107–10.

    Google Scholar 

  27. Peeling WB, Aubrey DA. Diverticulum of cecum. Br J Surg 1969;56:145–9.

    PubMed  CAS  Google Scholar 

  28. Asch M, Markowitz A. Cecal diverticulitis; report of 16 cases and a review of the literature. Surgery 1969;65:906–10.

    PubMed  CAS  Google Scholar 

  29. Schuler JG, Bayley J. Diverticulitis of the cecum. Surg Gynecol Obstet 1983;156:743–8.

    PubMed  CAS  Google Scholar 

  30. Gouge TH, Coppa GF, Eng K, Ranson JH, Localio SA. Management of diverticulitis of the ascending colon. Am J Surg 1983;145:387–91.

    Article  PubMed  CAS  Google Scholar 

  31. Schapira A, Leightling J, Wolf B, Marshak R, Janowitz H. Diverticulitis of the cecum and right colon: clinical and radiographic features. Am J Dig Dis 1958;3:351–83.

    Article  PubMed  CAS  Google Scholar 

  32. Wolf B. Roentgen findings of diverticulitis of the right side of the colon. J Mt Sinai Hosp 1956;23:697–710.

    CAS  Google Scholar 

  33. Daniels V, Wood E. Diverticulitis of cecum and ascending colon. JAMA 1960;172:519–24.

    PubMed  CAS  Google Scholar 

  34. Leightling J. Acute cecal diverticulitis. Gastroenterology 1955;29:453–60.

    Google Scholar 

  35. Levine J. Acute diverticulitis of the cecum. NY State J Med 1959;59:2033–4.

    CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Surgery, Beth Israel Medical Center, and the Mount Sinai School of Medicine of the City University of New York, 10 Nathan D. Perlman Place, 10003, New York, New York

    Murry G. Fischer M.D. & Anna M. Farkas M.D.

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  1. Murry G. Fischer M.D.
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  2. Anna M. Farkas M.D.
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Fischer, M.G., Farkas, A.M. Diverticulitis of the cecum and ascending colon. Dis Colon Rectum 27, 454–458 (1984). https://doi.org/10.1007/BF02555537

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  • DOI: https://doi.org/10.1007/BF02555537

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