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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


    Annals of Medical Research indexed in

  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is It is published monthly.

Editor-in-Chief
Cuneyt Kayaalp

 

Effectiveness of computerized tomography in the management of right colon diverticulitis treatment (p.1849-54)

Effectiveness of computerized tomography in the management of right colon diverticulitis treatment (p.1849-54)

Yurdakul Deniz Firat, Mehmet Fatih Erol
Department of General Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Sciences, Bursa, Turkey

Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim:Symptoms of right colon diverticulitis may mimic acute appendicitis. Therefore, most of these patients undergo unnecessary surgical intervention due to suspicion of appendicitis. The aim of this study was to evaluate the clinical and treatment results of our patients with right colon diverticulitis.
Material and Methods: Between January 2016 and December 2020, demographic and clinical data of 15 patients diagnosed with right-sided colon diverticulitis among 104 patients with colonic diverticulitis were retrospectively analyzed and radiological evaluation and clinical findings were recorded.
Results: Fifteen patients were included from in the study. The mean age of the patients was 37.73, 9 (60%) were female and 6 (40%) were male. The duration of symptoms before hospitalization was 1-4 days, with an average of 2.2 days. Generally, 66.6% of the patients had fever, 46.6% had nausea, 33% had diarrhea, 73% had pain in the lower right abdomen, and 27% had general abdominal pain at the time of admission. Leukocytosis was detected in 86.6% of all patients. High CRP levels were found in all patients (100%).
Since two patients had an ultrasound image compatible with acute appendicitis, surgery was performed without computed tomography. In these two patients, Hinchey-1b cecum diverticulitis was found as a surgical finding. Computed tomography with oral and intravenous contrast was used for all other patients. Diagnostic laparoscopy was performed on the computed tomography of a patient after suspicious findings accompanying cecum diverticulitis. In one patient, diverticulitis in the cecum and abscess in the right colon medial was observed (Hinchey-2). This patient underwent percutaneous drainage and IV antibiotherapy accompanied by interventional radiology, and the treatment was successful. In one patient, right hemicolectomy and ileocolic anastomosis were performed due to complicated right colon diverticulitis and acute abdomen (Hinchey 3). Although ultrasound evaluation was performed on all patients, the diagnosis of diverticulitis could not be made clearly for 8 (53.3%) patients. According to localization, 66.6% of patients had diverticulitis in the right colon (except cecum) and 33.3% had diverticulitis in the cecum.
Conclusion: In experienced hands, ultrasonography can make it easier to differentiate diverticulitis from acute appendicitis, however, in suspected cases, CT is of great importance to determine the correct diagnosis and suspected complications necessary to choose the right treatment. Acute appendicitis and right colon diverticulitis can be confused, especially cecal diverticulitis, and uncomplicated cecal diverticulitis can usually be managed conservatively.

Keywords: Hinchey classification; mimicking apendicitis; right  diverticulitis

 

 

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doi: 10.5455/annalsmedres.2020.05.503          

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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