| Autor: |
Gelevski, Radomir, Jota, Gjorgji, Trajkovski, Gjorgji, Trencic, Bojan, Dalipi, Berat, Gjorgjievska, Aneta |
| Předmět: |
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| Zdroj: |
Knowledge: International Journal; 2021, Vol. 46 Issue 4, p495-497, 3p |
| Abstrakt: |
Colonic diverticulosis, defined by presence of multiple diverticula, affecting mainly the left colon, represents herniation of the mucosa and muscularis mucosae through the colonic wall. Solitary cecal diverticulum contains all of the layers of the bowel wall and is considered true diverticulum. Perforation of the cecal diverticulum on anterior wall causes peritonitis. A 59-year-old male was admitted for urgent laparotomy because of lower right quadrant pain, nausea, tenderness on palpation, leukocytosis and elevated CRP. The McBurney incision was widened because of intraoperative finding of normal appendix and perforated tumorous mass on anterior cecal wall. Right hemicolectomy was performed with hand-sewn, double-layered with continuous suture latero-lateral ileotransversе anastomosis. А 60-year-old female with history of previous appendectomy was admitted for urgent laparotomy because of lower right quadrant pain, nausea and fever. Right hemicolectomy was performed with handsewn, double-layered with continuous suture latero-lateral ileotransversе anastomosis. Right-sided diverticulitis is more common in younger population with longer history of milder pain originating in lower right quadrant. 70% of cases of cecal diverticulitis are preoperatively regarded as acute appendicitis. Contrast-enhanced CT of the abdomen has 90% to 95% specificity in establishing the correct diagnosis. Discrepancy between recommendations for treatment of left-sided and right-sided diverticulitis exist. Recommended procedure of diverticulectomy is technically very challenging because of the separation of the diverticulum from inflamed surrounding tissue. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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