Diverticulitis of the right colon

Bova, James G.; Hopens, T.; Goldstein, Harvey M.

doi:10.1007/bf01317056

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…[32][33][34] Only 35 patients with right-sided diverticular disease were seen at the Mayo Clinic in a 25-year period. 33 Seventeen of the patients were asymptomatic, and their diverticula were incidental findings during surgery for other problems.…”

Section: P Athological Discussionmentioning

confidence: 99%

“…A true diverticulum, 33,34 which is thought to be congenital, contains all the layers of the colonic wall. This type is usually solitary, does not increase in frequency with age, and is thought to arise from clefts in the intestinal wall.…”

Section: P Athological Discussionmentioning

confidence: 99%

“…In contrast, a false diverticulum, the type found in the patient under discussion, contains only mucosa and submucosa in its wall and is thought to be associated with the aging process. [32][33][34] False diverticula usually involve the descending colon, and their occurrence in the ascending colon is typically associated with left-sided diverticulosis. Acquired right-sided diverticulosis in the absence of generalized diverticulosis is very rare and may be related to a previous appendectomy.…”

Section: P Athological Discussionmentioning

confidence: 99%

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Case 28-1995

Petros¹,

Zukerberg²

1995

N Engl J Med

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A 69-year-old woman was admitted to the hospital because of recurrent pain in the right lower abdominal quadrant and radiographic evidence of a cecal abnormality.The patient had been well until 44 days earlier, when fever and pain in the right lower quadrant developed, without nausea, vomiting, or diarrhea. Two days later she was admitted to another hospital. The white-cell count was 16,600 per cubic millimeter; the bilirubin level was 2.4 mg per deciliter (41 m mol per liter); other tests of liver function were negative. A Gastrografinenema examination showed that the colon was normal except for considerable spasm of the cecum and an extrinsic mass effect along its lateral aspect (Fig. 1). No diverticula were seen, and the terminal ileum was normal. An intravenous urographic examination was negative, except for very slightly delayed excretion by the right collecting system. A computed tomographic (CT) scan of the abdomen showed calcification of the aorta and a few granulomas in the spleen. There was circumferential thickening of the cecum, with surrounding pericolic stranding (Fig. 2). The small bowel was normal, and no lymphadenopathy was detected. No oral intake was allowed, and antibiotics were given intravenously. The patient's condition improved rapidly, the white-cell count became normal, and the bilirubin concentration decreased. She was discharged.The patient subsequently felt well and ate normally, without abdominal pain, fever, constipation, hematochezia, or weight loss, until two weeks before admission, when mild pain recurred in the right lower abdominal quadrant. Two days before admission diarrhea developed. On the following day treatment with ciprofloxacin and metronidazole was begun, andThe New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF GEORGIA on August 11, 2015. For personal use only. No other uses without permission.

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Section: P Athological Discussionmentioning

confidence: 99%

Section: P Athological Discussionmentioning

confidence: 99%

Section: P Athological Discussionmentioning

confidence: 99%

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Case 28-1995

Petros¹,

Zukerberg²

1995

N Engl J Med

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“…[538][539][540][541] Clinically, right-sided diverticular disease manifests with symptoms that mimic acute appendicitis. Right-sided diverticula occur in younger patients and are frequently seen in Asians.…”

Section: Right-sided Colonic Diverticular Diseasementioning

confidence: 99%