Diverticulum of caecum

Peeling, W. B.; Aubrey, D. A.

doi:10.1002/bjs.1800560216

Cited by 9 publications

(4 citation statements)

References 16 publications

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“…The information about the origin could not be identified for two articles [13,14]. Eighty articles (80/146, 54.8%) were published before 1980 [12–91] and 66 (66/146, 45.2%) after 1980 [2–4,7,9,11,92–151] (Figure 2, Appendix ).…”

Section: Resultsmentioning

confidence: 99%

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Uhe¹,

Meyer

Viviano

et al. 2021

Colorectal Disease

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Aim Caecal diverticulitis (CD) is an uncommon condition which can be misdiagnosed as acute appendicitis due to similar clinical presentations. Further, its management varies among medical centres. The aim of this study was to review cases of patients with CD, to identify the factors differentiating CD from acute appendicitis and to provide a summary of existing diagnostic methods and therapeutic alternatives regarding its management. Methods This systematic review was conducted in accordance with the PRISMA guidelines and the AMSTAR2 checklist. We searched MEDLINE and Embase from inception until 1 October 2018 for original publications reporting cases of CD. Results Out of the 560 identified studies, 146 publications (988 patients) were included in the qualitative synthesis. Most frequent symptoms of CD were right iliac fossa pain (93.2%), nausea and/or vomiting (35.4%) and fever (26.9%). A total of 443 patients (44.8%) underwent radiological imaging, which reported CD in 225 patients (22.8%). For the other patients, the diagnosis was obtained by surgical exploration (73.9%). Among patients diagnosed with CD by imaging, 67 (29.8%) underwent surgery and 158 (70.2%) were treated conservatively. Among patients who underwent surgical exploration, treatment consisted most frequently of right hemi‐colectomy (33%), appendectomy (18.8%) and diverticulectomy with appendectomy (16.3%). Conclusion CD can be misdiagnosed as acute appendicitis, therefore resulting in unnecessary surgical exploration. The review of the literature starting from 1930 highlights the critical role of medical imaging in supporting the clinician to diagnose this condition and administer adequate treatment.

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Section: Resultsmentioning

confidence: 99%

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Uhe¹,

Meyer

Viviano

et al. 2021

Colorectal Disease

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“…Anatomical variations follow similar lines: In industrialized areas, sigmoid involvement appears in up to 99% of cases 14 . Right‐sided colonic involvement (cecum and ascending colon) is far more prevalent among Eastern populations, 6,7,8,12,23 but has been described rarely in Caucasians 24 . These differences are probably genetic since the relative distribution of diverticula has remained constant despite changes in the dietary habits of these populations 5 …”

Section: Epidemiologymentioning

confidence: 92%

Diverticular Disease in the Elderly

Deckmann

1993

J American Geriatrics Society

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“…However, in view of the fact that failure to visual ize a diverticulum does not exclude its presence [ 17], and yet the majority of cases present acutely and demand emergency laparotomy, it is not advisable to delay oper ation by further and potentially hazardous diagnostic procedures.…”

Section: Discussionmentioning

confidence: 99%

“…For many years it was believed that caecal diverticu lae are solitary, true and congenital [17,19]. However, during the years it has been demonstrated that 60% and more of right-sided diverticulitis were false [20,21].…”

Section: Discussionmentioning

confidence: 99%

Acute Diverticulitis of the Caecum and Right Colon

Kashtan¹,

Rabau²,

Aladgem³

et al. 1989

Dig Surg

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The clinical presentation, diagnosis, mode of treatment and surgical pathology of acute diverticulitis of the caecum and right colon is reviewed in 22 patients. The clinical signs, biochemical and blood analysis in patients with caecal diverticulitis were indistinguishable from those of a control group with acute appendicitis. However, the duration of symptoms and average age of the former were significantly longer and higher than in the latter group. A definite intra-operative diagnosis was achieved in 11 patients (50%), who subsequently underwent either a limited resection or appendectomy only, while in the other patients without an intra-operative diagnosis right hemicolectomy was performed. The operative mortality rate was 9.1 %. Histological examination of the operative specimens revealed a solitary diverticulum in 8 patients, multiple diverticulae in 6 patients and caecal ulcers in 6 patients. All the diverticulae belonged to the false type.

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Diverticulum of caecum

Cited by 9 publications

References 16 publications

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Diverticular Disease in the Elderly

Acute Diverticulitis of the Caecum and Right Colon

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