Source
Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS. aljair@terra.com.br
Abstract
BACKGROUND:
Cecal diverticulitis is a rare condition, specially in western people. Its importance concerns of being part of the differential diagnosis of acute appendicitis and ulcerated cecal carcinoma.
AIM:
To present the experience of southern Brazilian general hospital in the treatment of cecal diverticulitis.
MATERIAL AND METHODS:
We present four cases of single inflamed cecal diverticulum. One was diagnosed by pre-operatively computer tomography and was treated medically without complications. The other three cases were diagnosed during operation and treated by right hemicolectomy and ileotransverse anastomosis.
RESULTS:
There were no deaths or complications. When cecal diverticulitis is pre-operatively diagnosed it may be treated medically. We preclude laparotomy when the diagnosis is uncertain.
CONCLUSION:
We recommend radical surgical management when the diagnosis is made during operation.