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Diagnosis and treatment experience of cecal diverticulitis in six pediatric patients

Xiao Li1,2, Wei Liu1,2, Shisong Zhang1,2

  • 1Department of General Surgery, Children's Hospital Affiliated to Shandong University, Jinan, China.

Frontiers in Pediatrics
|December 27, 2024
PubMed

Insights

Pediatric cecal diverticulitis often mimics appendicitis. Simple cases respond to anti-inflammatory treatment, while complex cases benefit from laparoscopic diverticulectomy and repair, ensuring good recovery.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Inflammatory Conditions

Background:

  • Cecal diverticulitis is a rare condition in children, often presenting with symptoms similar to acute appendicitis.
  • Accurate diagnosis and appropriate management are crucial for favorable outcomes.

Purpose of the Study:

  • To summarize the clinical characteristics, diagnostic methods, and treatment strategies for pediatric cecal diverticulitis.
  • To evaluate the effectiveness of different treatment approaches.

Main Methods:

  • Retrospective analysis of clinical data from six pediatric patients diagnosed with cecal diverticulitis.
  • Review of diagnostic imaging, laboratory findings, and treatment outcomes.

Main Results:

  • Abdominal pain in the lower right quadrant was the primary symptom in all patients.
  • Three patients were initially misdiagnosed with acute appendicitis.
  • Two patients were successfully treated with anti-inflammatory therapy (cephalosporins and ornidazole).
  • Four patients underwent successful laparoscopic cecal diverticulectomy with cecal repair, with no postoperative complications.

Conclusions:

  • Cecal diverticulitis in children can be easily misdiagnosed as acute appendicitis.
  • Acute simple cecal diverticulitis is manageable with anti-inflammatory therapy.
  • Laparoscopic cecal diverticulectomy with cecal repair is a safe and effective treatment for acute complex cecal diverticulitis in children.
Abstract

Keywords:
cecal diverticulitischildrenclinical characteristicsdiagnosistreatment

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