Ramírez VJM, Ayi WJA

Language: Spanish
References: 10
Page: 65-68
PDF size: 29.41 Kb.

ABSTRACT

A 33 year-old man, from Costa Rica, policeman, without any chronic pathologies of relevance is brought into the emergency room with a two day history of abdominal pain located mainly in the right lower quadrant and that irradiates (moves) to the rest of the abdomen, without any fever. The patient required surgery after several hours in observation with very little response to pain treatment. He was taken to the operating room under the diagnose of acute appendicitis; however, a normal, non-inflammatory appendix was found. Instead, the surgeons found perforated diverticula located in the cecum associated to effacement of the pericolic fat. Diverticula in the cecum or any other part of the ascending colon is very rare and is usually found when a patient is taken into surgery under the diagnose of acute appendicitis. There a two types of divercula: the congenital, which are located in the cecum or ascending colon and the acquired or false, which are the most common, and are usually found in the sigmoid colon. These do not present any symptoms, but their most seen complication is diverticulitis secondary to lumen obstruction or lymphoid hyperplasia.

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