Pseudodiverticulitis coeci – atypická etiológia bolesti v pravom hypogastriu

Česká verzia

Authors: T. Toporcer; P. Harbuľák; H. Baumöhlová ^*; L. Lakyová; J. Radoňak
Authors place of work: I. chirurgická klinika, Lekárska fakulta Univerzity P. J. Šafárika, Košice, prednosta: prof. MUDr. Jozef Radoňak, CSc. ; Oddelenie patológie, FNLP, Košice, Slovenská republika ^*
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 6, s. 379-383.
Category: Monothematic special - Original

Summary

The aim of our paper is to show on the diagnosis of coecal diverticul as infrequent reason of right iliac fossa pain.

We present the case report of 43-years old woman, which underwent appendectomy some years sooner, and was accepted into the hospital because of 48-hours taking right iliac fossa pain. Local peritoneal irritation was present. During laparotomy resection of right colon with the toilette of abdominal cavity was performed. Histology diagnosed the right colon pseudodiverticulitis.

In case of diagnosis of right colon pseudodiverticulitis before surgery and without peritoneal irritation, the most of authors recommend the conservative management with antibiotics. If the surgery is required, the local resection of diverticul with appendectomy is recommended. If the local resection is not possible, the ileocoecal resection has lower mortality as the right hemicolectomy.

Key words:
right iliac fossa pain – diverticul of coecum

Zdroje

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