Solitary caecal diverticulitis. Recognition and management

M. A. Al-Hilaly, H. A. Razzaq, J. I. El-Salfiti, F. M. Abu-Zidan, M. S. Al-Manee

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9 Citations (Scopus)

Abstract

Nine cases of solitary caecal diverticulitis treated in Kuwait are presented and the literature is reviewed. The preoperative diagnosis was acute appendicitis in all cases, but diverticulitis was detected during surgical exploration and histologically confirmed. The surgical management in seven cases was simple excision of the diverticulum with closure of resultant defect or invagination of the mucosal bulge with suture of the colonic wall. Right hemicolectomy was performed in two cases because of gangrenous patches in the caecal wall and suspicion of carcinoma. Recognition of solitary caecal diverticulitis requires considerable experience, especially in order to avoid more radical procedures such as right hemicolectomy. Solitary caecal diverticulum does not seem to occur in the indigenous people of Kuwait. All nine patients were of other nationalities, including five from countries of the Far East.

Original languageEnglish
Pages (from-to)475-478
Number of pages4
JournalActa Chirurgica Scandinavica
Volume155
Issue number9
Publication statusPublished - Dec 1 1989
Externally publishedYes

Keywords

  • right colonic diverticulitis
  • solitary caecal diverticulum

ASJC Scopus subject areas

  • Surgery

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