Surgery – Journal article

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The article that I chose to present during my site evaluation was called Management of cecal diverticulitis diagnosed by computed tomography scan by Daniel W. Kauff, Roman Kloeckner, Sohall Frogh, and Hauke Lang. This article essentially looks at four different case reports of patients that were found to have acute cecal diverticulitis. The authors looked at the different methods of trying to differentiate and properly diagnose cecal diverticulitis from acute appendicitis. It was found that the best way to properly diagnose cecal diverticulitis and not mistakenly diagnose a patient with appendicitis is to obtain a CT scan. It is very important to differentiate these two since the treatment/management of the disease processes varies greatly. There were other indicators that were observed such as physical exam signs and history as well. It was found that right iliac fossa pain and tenderness and elevated CRP did not help increase the likelihood of diagnosing accurately. The authors also found that management of cecal diverticulitis by conservative management was successful. While the third case was not able to be managed conservatively since the patient’s disease was complicated by a retroperitoneal abscess that needed to be drained. I believe that this article should not affect our management/treatment of cecal diverticulitis greatly and greater level of evidence is needed to effectively manage cecal diverticulitis.