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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


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Gazzetta Medica Italiana Archivio per le Scienze Mediche 1999 December;158(6):205-7

language: Italian

Emer­gen­cy sur­gi­cal treat­ment of ­acute diver­tic­u­litis of the ­right ­colon

Lasagna B.

Azienda Ospedaliera San Giovanni Battista - Torino, DEA Chirurgia d’Urgenza Ospedaliera


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Diver­tic­u­lar dis­ease of the ­right ­colon is fre­quent ­among East­ern pop­u­la­tions, but ­very ­rare in oth­er coun­tries. The ­author ­reports ­four cas­es of ­acute diver­tic­u­litis of the ­right ­colon under­go­ing emer­gen­cy sur­gery. In all cas­es sur­gery was under­tak­en in the pres­ence of clin­i­cal symp­toms of ­acute appen­di­citis, and the diag­no­sis, sub­se­quent­ly con­firmed by his­to­log­i­cal anal­y­sis, was ­only ­made intra­op­er­a­tive­ly.
In ­those ­forms char­ac­ter­ized by inflam­ma­to­ry pseu­do­tu­mour, ­doubts may ­arise regard­ing the inter­pre­ta­tion of the car­ci­no­ma. Depend­ing on the objec­tive char­ac­ter­is­tics and the ­spread of the inflam­ma­tion pro­cess, the sur­geon may opt for con­ser­va­tive (diver­tic­u­lec­to­my) or rad­i­cal (ile­oc­e­cal resec­tion, ­right hem­i­co­lec­to­my) treat­ment. Oper­a­tive mor­tal­ity and mor­bid­ity are usu­al­ly ­null.

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