[Acute diverticulitis of the cecum. A clinical contribution and review of the literature]

Abstract

Even if it is a rare disease, acute cecal diverticulitis is a diagnostic and therapeutic challenge for the surgeon. The authors present their experience synthetically and compare their results with the literature. Their experience is not very different from the results reported by many other authors. Five cases underwent radical treatment (right colectomy) and 6 cases were treated with a more conservative operation (diverticulectomy and/or invagination). Only one patient was treated medically. Acute diverticulitis of the cecum requires the solution of three difficult questions: 1) preoperative diagnosis; 2) intraoperative diagnosis; 3) correct therapeutic procedure.