1
|
Fukata K, Takamizawa J, Miyake H, Nagai H, Yoshioka Y, Yuasa N, Ito S, Fujino M. Diagnosis of appendiceal diverticulitis by multidetector computed tomography. Jpn J Radiol 2020; 38:572-578. [PMID: 32172468 DOI: 10.1007/s11604-020-00950-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Accepted: 02/25/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE Because appendiceal diverticulitis (AD) has a high risk of perforation, precise diagnosis is important for patients with suspected acute appendicitis (AA). In this study, we aimed to reveal the characteristics of computed tomography (CT) images of AD. METHODS CT images were comparatively analyzed in patients who underwent appendectomy and had histopathologically proved AD (n = 23) or AA (n = 365) to reveal specific findings of CT image for AD and determine sensitivity and specificity of CT for AD. RESULTS Univariate analysis showed that maximal diameter of the appendix in AD was significantly smaller than that in AA. Multivariate analysis showed that saccular structure of the appendix wall, cecum or ascending colon diverticulum and peri-appendiceal or -cecal fluid collection were significant independent indicators of AD. Based on that saccular structure of the appendix wall which was the most important specific finding, the sensitivity and specificity of CT for AD were 48% and 99%, respectively. CONCLUSION The saccular structure of the appendix wall, cecum or ascending colon diverticulum and peri-appendiceal or -cecal fluid collection in CT suggest AD in patients with suspected AA. The sensitivity and specificity of CT for diagnosing AD were 48% and 99%, respectively.
Collapse
Affiliation(s)
- Koji Fukata
- Department of Surgery, Japanese Red Cross Nagoya First Hospital, Nakamura-ku Michisita3-35, Nagoya, Aichi, Japan
| | - Junichi Takamizawa
- Department of Laboratory Medicine, Japanese Red Cross Nagoya First Hospital, Nagoya, Aichi, Japan
| | - Hideo Miyake
- Department of Surgery, Japanese Red Cross Nagoya First Hospital, Nakamura-ku Michisita3-35, Nagoya, Aichi, Japan
| | - Hidemasa Nagai
- Department of Surgery, Japanese Red Cross Nagoya First Hospital, Nakamura-ku Michisita3-35, Nagoya, Aichi, Japan
| | - Yuichiro Yoshioka
- Department of Surgery, Japanese Red Cross Nagoya First Hospital, Nakamura-ku Michisita3-35, Nagoya, Aichi, Japan
| | - Norihiro Yuasa
- Department of Surgery, Japanese Red Cross Nagoya First Hospital, Nakamura-ku Michisita3-35, Nagoya, Aichi, Japan.
| | - Shigeki Ito
- Department of Radiology, Japanese Red Cross Nagoya First Hospital, Nagoya, Aichi, Japan
| | - Masahiko Fujino
- Department of Pathology, Japanese Red Cross Nagoya First Hospital, Nagoya, Aichi, Japan
| |
Collapse
|
2
|
Tomizawa K, Toda S, Tate T, Hanaoka Y, Moriyama J, Matoba S, Kuroyanagi H. Laparoscopic surgery for colovesical fistula associated with sigmoid colon diverticulitis: a review of 39 cases. JOURNAL OF THE ANUS RECTUM AND COLON 2019; 3:36-42. [PMID: 31559365 PMCID: PMC6752128 DOI: 10.23922/jarc.2018-008] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Accepted: 09/25/2018] [Indexed: 11/30/2022]
Abstract
Objectives: Colonic diverticular disease is widespread in Western countries and its associated with aging. In Japan, diverticulitis and colovesical fistula are also occurring more frequently. Colonic resection for diverticula-related fistulas is frequently technically demanding because of associated acute or chronic inflammation. We evaluated the safety and efficacy of a standardized laparoscopic procedure. Methods: Data from 39 consecutive patients who had undergone laparoscopic surgery for colovesical fistula between October 2006 and August 2017 were retrospectively reviewed. Results: The patients' median age was 60 years and comprised 35 men and four women. Sigmoidectomy was performed in 33 patients, Hartmann's procedure in four, and anterior resection in two. The median operative time was 203 minutes and estimated blood loss 15 mL. There were no intraoperative complications or conversion to open surgery. No patients required bladder repair; three had minor postoperative complications, and none had recurrent diverticulitis or fistula at a mean follow-up of 5.1 years. Conclusions: The magnified vision and minimal invasiveness make a laparoscopic approach the ideal means of managing colovesical fistula. To our knowledge, this is the largest study of colovesical fistula managed by a standardized laparoscopic procedure.
Collapse
Affiliation(s)
- Kenji Tomizawa
- Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan
| | - Shigeo Toda
- Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan
| | - Tomohiro Tate
- Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan
| | - Yutaka Hanaoka
- Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan
| | - Jin Moriyama
- Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan
| | - Shuichiro Matoba
- Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan
| | - Hiroya Kuroyanagi
- Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan
| |
Collapse
|
3
|
Tochigi T, Kosugi C, Shuto K, Mori M, Hirano A, Koda K. Management of complicated diverticulitis of the colon. Ann Gastroenterol Surg 2017; 2:22-27. [PMID: 29863123 PMCID: PMC5868871 DOI: 10.1002/ags3.12035] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Accepted: 07/13/2017] [Indexed: 12/21/2022] Open
Abstract
Diverticular disease of the colon occurs quite frequently in developed countries, and its prevalence has recently increased in Japan. The appearance of diverticulosis increases with age, although mostly remaining asymptomatic. Approximately 20% of cases require treatment. As the Western lifestyle and number of elderly people increase, the need for medical treatment also increases. Computed tomography (CT) is the gold standard for diagnosing diverticulitis. Complicated diverticulitis is classified by the size and range of abscess formation and the severity of the peritonitis. Each case should be classified based on clinical and computed tomography (CT) findings and then treated appropriately. Most patients with uncomplicated diverticulitis (stages 0–Ia) can be treated conservatively. Diverticulitis with a localized abscess (stages Ib–II) is generally resolved with conservative treatment. If the abscess is larger or conservative treatment fails, however, percutaneous drainage or surgery should be considered. Operative treatment is considered standard therapy for severe diverticulitis with perforation and generalized peritonitis (stages III–IV). Colonic diverticulitis treated conservatively frequently recurs. Elective surgery after recovery should be considered carefully and decisions made on a case‐by‐case basis. Because cases of colonic diverticulitis will undoubtedly increase in Japan, it is likely that we will be confronted with increasing numbers of treatment decisions. We therefore need to have a systematic strategy for treating the various stages of colonic diverticulitis appropriately. We herein review the management of complicated diverticulitis.
Collapse
Affiliation(s)
- Toru Tochigi
- Department of Surgery Teikyo University Chiba Medical Center Ichihara Chiba Japan
| | - Chihiro Kosugi
- Department of Surgery Teikyo University Chiba Medical Center Ichihara Chiba Japan
| | - Kiyohiko Shuto
- Department of Surgery Teikyo University Chiba Medical Center Ichihara Chiba Japan
| | - Mikito Mori
- Department of Surgery Teikyo University Chiba Medical Center Ichihara Chiba Japan
| | - Atsushi Hirano
- Department of Surgery Teikyo University Chiba Medical Center Ichihara Chiba Japan
| | - Keiji Koda
- Department of Surgery Teikyo University Chiba Medical Center Ichihara Chiba Japan
| |
Collapse
|
4
|
Imafuku A, Tanaka K, Marui Y, Sawa N, Ubara Y, Takaichi K, Ishii Y, Tomikawa S. Colovesical Fistula After Renal Transplantation: Case Report. Transplant Proc 2015; 47:2248-50. [PMID: 26361691 DOI: 10.1016/j.transproceed.2015.07.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2015] [Accepted: 07/14/2015] [Indexed: 11/17/2022]
Abstract
Colovesical fistula is a relatively rare condition that is primarily related to diverticular disease. There are few reports of colovesical fistula after renal transplantation. We report of a 53-year-old man who was diagnosed with colovesical fistula after recurrent urinary tract infection, 5 months after undergoing cadaveric renal transplantation. Laparoscopic partial resection of the sigmoid colon with the use of the Hartmann procedure was performed. Six months after that surgery, there was no evidence of recurrent urinary tract infection and the patient's renal graft function was preserved. Physicians should keep colovesical fistula in mind as a cause of recurrent urinary tract infection in renal transplant recipients, especially in those with a history of diverticular disease.
Collapse
Affiliation(s)
- A Imafuku
- Department of Nephrology Center, Toranomon Hospital, Tokyo, Japan.
| | - K Tanaka
- Department of Nephrology Center, Toranomon Hospital, Tokyo, Japan
| | - Y Marui
- Department of Nephrology Center, Toranomon Hospital, Tokyo, Japan
| | - N Sawa
- Department of Nephrology Center, Toranomon Hospital, Tokyo, Japan
| | - Y Ubara
- Department of Nephrology Center, Toranomon Hospital, Tokyo, Japan
| | - K Takaichi
- Department of Nephrology Center, Toranomon Hospital, Tokyo, Japan
| | - Y Ishii
- Department of Nephrology Center, Toranomon Hospital, Tokyo, Japan
| | - S Tomikawa
- Department of Nephrology Center, Toranomon Hospital, Tokyo, Japan
| |
Collapse
|
5
|
Nakatani K, Tokuhara K, Sakaguchi T, Ryota H, Yoshioka K, Kon M. Low-grade mucinous neoplasia in a cecal diverticulum: A case report. Int J Surg Case Rep 2015; 15:66-9. [PMID: 26318130 PMCID: PMC4601971 DOI: 10.1016/j.ijscr.2015.08.030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2015] [Revised: 08/04/2015] [Accepted: 08/15/2015] [Indexed: 10/29/2022] Open
Abstract
INTRODUCTION Low-grade mucinous neoplasia is an uncommon benign tumor that develops in the appendix. The development of mucocele disease has never been reported in a colonic diverticulum. We present a case developing low-grade mucinous neoplasia in a cecal diverticulum. PRESENTATION OF CASE A tumor in the ileocecal region was found during a medical examination of a 66-year-old woman. Three months later, the tumor was still present and the patient developed abdominal pain. Laparoscopic ileocecal resection with D2 lymph node dissection was performed. Histopathological examination revealed a low-grade mucinous neoplasm in a cecal diverticulum. DISCUSSION Colonic mucoceles reportedly originate from the appendix. There are no previous reports of mucocele disease in a colonic diverticulum worldwide. This report reviews and discusses the management of the appendiceal mucoceles. CONCLUSION The incidence of colonic diverticula has recently begun to increase in Japan. The possibility of a mucocele within a colonic diverticulum should be considered in patients with submucosal colonic tumors.
Collapse
Affiliation(s)
- Kazuyoshi Nakatani
- Department of Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, Osaka 570-8507, Japan.
| | - Katsuji Tokuhara
- Department of Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, Osaka 570-8507, Japan.
| | - Tatsuma Sakaguchi
- Department of Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, Osaka 570-8507, Japan.
| | - Hironori Ryota
- Department of Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, Osaka 570-8507, Japan.
| | - Kazuhiko Yoshioka
- Department of Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, Osaka 570-8507, Japan.
| | - Masanori Kon
- Department of Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, Osaka 570-8507, Japan.
| |
Collapse
|
6
|
Tarao K, Sekino Y, Nonaka T, Iida H, Inamori M, Nakajima A, Maeda S, Natsumeda Y, Ikegami T, Ohshige K. Recent trends in colonic diverticulosis in Yokohama City: a possibility of changing to a more Western profile. Intern Med 2015; 54:2545-50. [PMID: 26466687 DOI: 10.2169/internalmedicine.54.4813] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVE Right-sided type colonic diverticulosis has been predominant in Japan, in contrast to European counties where the left-sided type is predominant. Considering the recent change in the dietary habits of Japanese people to a more Western diet in urban areas of Japan, the features of colonic diverticulosis may also change to reflect a more Western type. Therefore, we attempted to clarify the current situation. METHODS A total of 435 consecutive outpatients who agreed to a barium enema and complete examination were enrolled in this study. RESULTS 113 patients (26.0%) revealed colon diverticulosis; 50.4% of the patients had more than ten diverticula. The percentage of man with ten or more diverticula (67.4%) was significantly higher than that of women patients (40.0%, p<0.01). Among the 88 patients who had four or more diverticula, 39 patients (44.3%) were right-side dominant, 27 (30.7%) left-side dominant and 22 (25.0%) were both-sides. Thirteen (68.4%) of the 19 patients who had more than 30 diverticula were left-side dominant. CONCLUSION The clinical features of colon diverticulosis in the patients living in Yokohama may be changing to reflect a more Western type, in particular decreased right-side dominance, increases in the left-side and both-sides dominant patients, and the emergence of patients with crowded diverticula in the left-side colon was observed.
Collapse
|