PDF(Pubmed)
Abstract：
Diverticulitis in a solitary transverse colon diverticulum is uncommon, with only a handful of cases documented in the literature. There are various clinical manifestations of the disease, which make clinical and radiological diagnosis rather challenging. Herein, we present a case of a premenopausal female patient in her late 40s who presented to the emergency department, complaining of right lower quadrant abdominal pain, nausea, anorexia and fever. Following clinical, biochemical and radiological tests, the patient was prepared for surgical operation, with the presumed diagnosis of acute appendicitis. An appendicectomy was planned via a McBurney incision. Notably, no inflammation of the appendix was discovered. However, on further exploration, an inflammatory mass was identified in the transverse colon, which was subsequently excised and sent for histological examination. The histology results confirmed the presence of a ruptured solitary transverse colon diverticulum, accompanied by an adjacent mesenteric abscess. The patient\'s postoperative recovery was uneventful.
摘要：
孤立性横结肠憩室的憩室炎并不常见，文献中只有少数案例记录。该病有多种临床表现,这使得临床和放射学诊断相当具有挑战性。在这里，我们介绍了一个40多岁的绝经前女性患者到急诊科就诊，抱怨右下腹腹痛,恶心,厌食症和发烧。在临床之后，生化和放射学测试，病人准备手术,推测诊断为急性阑尾炎.计划通过McBurney切口进行阑尾切除术。值得注意的是,没有发现阑尾发炎。然而,进一步探索,在横结肠发现了一个炎性肿块，随后切除并送去进行组织学检查。组织学结果证实存在单发横结肠憩室破裂，伴有邻近的肠系膜脓肿。患者术后恢复顺利。
