小児盲腸憩室炎の1例

概要

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Cecal diverticulitis is quite rare among children. It is frequently misdiagnosed as acute appendicitis preoperatively, because its clinical presentation is difficult to distinguish from that of acute appendicitis. It is important, therefore, to have cecal diverticulitis in mind as one of the differential diagnoses for acute appendicitis at the time of examination and operation. We report a 13-year-old boy with cecal diverticulitis whose preoperative diagnosis was acute appendicitis. Laparotomy revealed a moderately inflammed cecal diverticulum, which was resected wedgewise in addition to an incidental appendectomy. It was a simple and false diverticulum. In the literature, there are only two reports of cecal diverticulitis in a child, an 11-year-old girl by Suzuki, 1984 in Japan and a 2-year-old boy by McPherson, 1985 in England. We believe that this is the third report of cecal diverticulitis in a child. It is quite difficult to distinguish cecal diverticulitis from acute appendicitis. However, when we suspect cecal diverticulitis from present history and symptoms, we should try to detect a diverticulum using ultrasonography, barium enema and so on to avoid unnecessary laparotomy.
日本小児外科学会の論文
1991-04-20