Estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda

Abstract

Background: Cecal acute diverticulitis is a rare disease with symptoms similar to acute appendicitis and is therefore difficult to diagnose. Objectives: To evaluate therapeutical conduct according to clinical for ms of presentation and the intraoperative findings. Location: Emergency Serviee of Clinical National Hospital. U.N.C. (Cordoba National University.) and the ABC group. Deslgn: retrospective 64 Paul E Lada, Víctor Martinessi. Rolando Montenegro... observation. Materials and Methods: Twenlyfour patients with cecal diverticulitis were treated surgically, of which scvcn leen were meo and seven were womeri with an average age of 47 years. The urst group was formed with 16 patients and the second with S. Al! patients presented abdominal pain, fever, nauseas and vomiting when they were adrnitted, but one showed cnterorrhage and 2 abdominal clistention and ileus. Physical exaniinal ion produced pain and lencierncss in RLQ, but in 6 peritoneum vas not involved and in 4 a tumor was palpable in that region. Two patients, had a perforating acule abdominal condition. Results: Sixteen right hernicolectomies were performed. In the remaining eight a cecostomy vas ciecided. One patient died due to TEPA (Acute pulmonar tromboern bol ism). Abdominal wall abscesses appearecl in six patients, and un faur of them an incisional middle bernia appeared lo postoperative penad. Conclusions; Wc consider that in those patients prescnting serious prob!ems in deciding whether the inflamatory condilion was benign or malignant, or whcn perforated cecal diverticulum with vascular compromise aoci subsequent cecal wali necrosis has been suspected, we bclicve that the resection is the hest treatnent