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>Journals >Cirujano General >Year 2000, Issue 4


Rivero TL, Cardoza MF
Acute appendicitis and cecal appendix diverticuli. Report on one patient.
Cir Gen 2000; 22 (4)

Language: Español
References: 9
Page: 351-353
PDF: 4. Kb.


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ABSTRACT

Objective: To describe the clinical case of a patient with acute appendicitis and diverticuli of the cecal appendix.
Setting: Second health care level general hospital.
Case description: A 38 years old man with epigastric and mesograstric pain of 96 hours evolution, behind the right iliac fosse. Abdominal exploration revealed peritoneal irritation. He was subjected to surgery, which revealed acute perforated appendicitis with multiple diverticuli of the cecal appendix. Appendectomy was performed without evidences of diverticuli on the ascending cecum and colon. The anatomo-pathologic study reported acute appendicitis and diverticulosis of the cecal appendix. The patient evolved satisfactorily.
Conclusion: Diverticuli of the cecal appendix are uncommon, the complication rate described in the literature is high, and its diagnosis is the same as for acute appendicitis. Treatment consists of appendectomy, the same is indicated when incidentally discovered during a laparotomy performed for other reasons. In case of diagnosis through colon by enema or suspected from a simple abdominal X-ray, treatment must be expectant.


Key words: Cecal appendix, appendicitis, appendectomy, diverticular disease.


REFERENCIAS

  1. Sabiston DC, Jr. Appendicitis. In: Sabiston DC, Lyerly HK. Textbook of Surgery: The biological basis of modern surgical practice. 15th Edition. WB Saunders Company, Philadelphia 1997: 964-970.

  2. Kozar RA, Roslyn JJ. The appendix. In: Schwartz SI, Shires G, Spencer FC. Principles of surgery. 6th Edition. New York Mcgraw-Hill Inc 1999: 1383-1394.

  3. Shackelford TR. The colon disease of the apprendix, In: Surgery of the alimentary tract. Philadelphia U.S.A. W.B. Saunders Company. 1965: 1393-361.

  4. Wetzig NR. Diverticulosis of the vermiform appendix. Med J Aust 1986; 145: 464-5.

  5. Payan HM. Diverticular disease of the appendix. Dis Colon Rectum 1977; 20: 473-6.

  6. Delikaris PS, Teglbjaerg PS. Fisker-Sorensen P, Balslev I. Diverticula of the vermiform appendix: alternatives of clinical presentation and significance. Dis Colon Rectum 1983; 26: 374-6.

  7. Lipton S, Estrin J, Glasser Y. Diverticular disease of the appendix. Surg Gynecol Obstet 1989; 168: 13-6.

  8. Garza Alvarez R, de la Torre G, Melgoza Montañez D. Enfermedad diverticular del apéndice cecal. Rev Sanid Mil 1993; 47: 169-71.

  9. Porro NN. Diverticulitis del apéndice cecal. Presentación de un caso. Rev Sanid Mil 1993; 47: 142-3.






>Journals >Cirujano General >Year 2000, Issue 4
 

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