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Tech Coloproctol. 2004 Nov;8 Suppl 1:s116-8.

Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literature.

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1
Komninon 68, 55132 Kalamaria, Greece. jimkam@med.auth.gr

Abstract

BACKGROUND:

Perforation of a solitary caecal diverticulum is a rare cause of acute abdomen and an uncommon differential diagnosis for acute appendicitis. Nine hundred cases have been described since Potiers' first description of perforated caecal diverticulum in 1912.

METHODS:

We describe 2 cases of perforated diverticulum of the caecum. The first patient was a 50-year-old man diagnosed by subsequent histology, and the second a 77-year-old woman diagnosed intra-operatively. Radiography, ultrasound and CT scan of the abdomen pointed at the diagnosis in the second case. A right hemicolectomy was performed.

RESULTS:

There were no complications, apart from a transient faecal fistula in the first patient managed conservatively. In both patients histology revealed a perforated caecal diverticulum.

CONCLUSIONS:

The surgeon must be familiar with the diagnosis and management of this rare, inflammatory benign caecal entity.

PMID:
15655592
DOI:
10.1007/s10151-004-0129-6
[Indexed for MEDLINE]
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