>Year 2009, Issue 3
Murillo ZA, Belmonte MC, Guerrero GVH, Cosme RC, Murakami MPD
Cecal diverticulitis and assisted laparoscopic surgery. Are they compatible? A case presentation
Cir Gen 2009; 31 (3)
PDF: 4. Kb.
Objective: We present a case of cecal diverticulitis diagnosed through CAT scan, which was managed with laparoscopic assisted ileo-colic resection.
Setting: Third level health care hospital (ABC medical center).
Design: Case report.
Description of the case: Male patient, 37-year-old, who started 18 h before with oppressive abdominal pain, in the epigastrium, which later turned diffuse, intensity 7/10, constant, accompanied by non-quantified fever, chills, and intense nausea without vomitting. He referred having had a similar condition 6 months before. Physical exploration revealed painful abdomen to deep palpation in the right hypochondrium and epigastrium with negative rebound. Tests revealed leukocytosis. The TAC scan revealed an inflamed cecal diverticulum. He was subjected to a laparoscopic assisted ileo-colic resecction. The post-operative period was uneventful and he was discharged in good conditions.
Conclusion: The diagnosis of cecal diverticulitis is rare. It is an uncommon entity and its clinical presentation is suggestive of acute appendicitis. TAC scan enables a differential diagnosis. Laparoscopy-assisted treatment can be a feasible alternative, which provides the benefits of a faster recovery, a better cosmetic result, and a faster return to daily activities.
||Cecal diverticulitis, laparoscopy, surgery.
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>Year 2009, Issue 3