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文献考察：横行結腸憩室炎・31例の集計
Dis Colon Rectum. 1999 Jul;42(7):955-8.
Transverse colon diverticulitis: successful nonoperative management in four patients. Report of four cases.
Jasper DR, Weinstock LB, Balfe DM, Heiken J, Lyss CA, Silvermintz SD.
PURPOSE: Diverticulitis of the transverse colon is a rare disorder and is often confused with other conditions. Previously reported cases of transverse colon diverticulitis were diagnosed and treated by surgical exploration. Four cases are presented that were successfully managed with a nonsurgical approach. METHODS AND RESULTS: Review of the literature in English disclosed 31 cases of transverse colon diverticulitis. The clinical characteristics and management of these patients are reviewed and compared with the current series of patients. The utility of computerized tomography in the diagnosis of diverticulitis is discussed. CONCLUSIONS: Medical therapy with bowel rest and antibiotics is appropriate for transverse colon diverticulitis when free perforation and peritoneal signs are absent and the inflammation is contained, as shown by computerized tomography. Operative exploration should be reserved for patients with diffuse peritonitis or those where perforated colon cancer cannot be excluded.PMID: 10411445
要旨：全結腸憩室で横行結腸憩室の頻度は0.5〜2.7％．31例の集計で，平均年齢は52.3歳（24〜87）でＳ状結腸憩室より15〜20歳若く，女性に圧倒的に多い（85％）．主訴は右下腹部痛が最も多く，60％は急性虫垂炎の診断で手術されている．
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