Primary Article

Cecal Diverticulitis: Changing Trends in Management

Authors: ERIC J. WYBLE MD, W CHAPMAN LEE MD

Abstract

ABSTRACT: Diagnosis of cecal diverticulitis remains a dilemma. Preoperatively it can mimic appendicitis, and intraoperatively the surgeon is confronted with an inflammatory mass that may masquerade as a neoplasm. We reviewed 18 cases of pathologically documented cecal diverticulitis and one case of solitary diverticulitis of the ascending colon. Ileocolonic resection was done in 16 patients, and three patients had local resection. Patients having local resection had greater morbidity and a significantly longer hospital stay. There were no deaths. We have found ileocolonic resection to be safe and effective, and we recommend it as the procedure of choice for cecal diverticulitis.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References