Ulus Travma Acil Cerrahi Derg. 2015; 21(6): 520-523 | DOI: 10.5505/tjtes.2015.65188

Solitary caecum diverticulitis mimicking acute appendicitis

Semih Hot, Seracettin Eðin, Berk Gökçek, Metin Yeþiltaþ, Ali Alemdar, Arzu Akan, Servet Rüþtü Karahan
Department Of Surgery, Okmeydaný Training And Research Hospital, Ýstanbul, Turkey

Solitary cecum diverticulum is a benign formation, but it can be complicated with inflammation, perforation and bleeding. Cecum diverticulitis (CD) is the most common complication of caecal diverticulum and it has the highest incidence among Asians, but it is a rare condition in the western world. The incidence of colonic diverticular disease can vary according to national origin, cultural structure and nutritional habits. CD is not common in our country, but it is an important situation because of its clinical similarity with the commonly seen acute right side abdominal diseases like acute appendicitis. Preoperative diagnosis is difficult, and hence, the actual frequency is not known. The treatment of CD can vary from medical therapy to right hemi colectomy. In this study, we presented ten CD cases on whom surgical resection was performed in our surgery unit during the last 8 years. Our purpose was to increase the awareness of surgeons about this situation, and so, make them pay attention for not having their first experience in the operating room.

Keywords: Acute abdomen, cecum diverticulitis; diverticular disease of the colon.

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Akut apendisite benzeyen soliter çekum divertiküliti

Semih Hot, Seracettin Eðin, Berk Gökçek, Metin Yeþiltaþ, Ali Alemdar, Arzu Akan, Servet Rüþtü Karahan
Okmeydaný Eðitim Ve Araþtýrma Hastanesi, Cerrahi Kliniði, Ýstanbul

Soliter çekum divertikülü benign bir oluþumdur ama enflamasyon, perforasyon ve kanama ile komplike bir hale gelebilir. Çekal divertiküllerin en yaygýn komplikasyonu olan çekum divertiküliti (ÇD), Asyalýlar arasýnda yüksek insidansa sahip, ama Batý dünyasýnda ender bir durumdur. Kolonik divertiküler hastalýðýn insidansý ulusal kökene, kültürel yapý ve beslenme alýþkanlýðýna göre deðiþir. Çekum divertiküliti ülkemizde yaygýn deðildir, ama akut apandisit gibi diðer sýk görülen akut sað taraf karýn hastalýklarýna klinik açýdan çok benzediði için önemli bir durumdur. Cerrahi öncesi tanýsý zordur ve bu nedenle güncel sýklýðý bilinmez. Çekum divertikülitinin tedavisi týbbi tedaviden sað hemikolektomiye kadar deðiþir. Bu çalýþmada son sekiz yýlda acil birimimizde cerrahi rezeksiyon uygulanan 10 ÇD olgusunu sunduk. Amacýmýz cerrahlar arasýnda bu duruma olan farkýndalýðý artýrarak, ilk deneyimlerinin ameliyathanede olmamasý için özen göstermeleridir.

Anahtar Kelimeler: Akut karýn, çekum divertiküliti, kolonun divertiküler hastalýðý.

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