Korean Journal of Gastrointestinal Endoscopy 2000;21(1): 563-567.
대장내시경 및 CT 검사에서 종양으로 오진도니 맹장 게실염 1예 ( A Case of Solitary Cecal Diverticulitis Misdiagnosed as a Cecal Tumor )
정규영(Kyu Young Jung),구영훈(Young Hoon Koo),최정호(Jung Ho Choi),김은영(Eun Young Kim),김경원(Kyung Won Kim),김강희(Kang Hee Kim),박승근(Seung Keun Park),박희욱(Hee Wook Park),옥종한(Jong Han Ok),손창목(Chang Mok Son),김혜숙(Hae Sook Kim)
Abstract
Cecal diverticulitis is a rare entity and remains a difficult diagnostic problem. Most patients are presented with an acute pain in the abdomen, which is nearly indistinguishable from that of appendicitis. Preoperative diagnostic studies are not helpful. Even with an operation, the correct diagnosis may be difficult to predict with certainty. The differential diagnosis between a cecal malignant tumor and a mass caused by inflammation due to cecal diverticulitis is difficult. Suspicion of a neoplastic process continues to prompt colectomy in an emergency setting. If diagnosed preoperatively, it can be treated effectively with a broad spectruum of antibiotics without surgical intervention. The physician must be aware this condition and be prepared to choose the most apropriate treatmetn. A case was experienced involving of solitary cecal diverticulitis misdiagnosed as a cecal tumor in a 61-year-o0ld female. This unique form of diverticulitis is herein reported with literature review. (Korean J Gastrointest Endosc 2000; 21:563-567)
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