BACKGROUND: Acute @entity4436 of the caecum and ascending colon is uncommon. Controversies abound as regards the optimal surgical treatment, ranging from appendectomy, diverticulectomy to right hemicolectomy. The aim of the present paper was to review treatment strategy followed by a critical appraisal. METHODS: The case notes of 30 @entity1 with acute @entity4436 of the right colon who were treated at the United Christian Hospital, Hong Kong from 1992 to 1998 were systematically reviewed. The data were subjected to statistical analysis. RESULTS: The median age was 34 years, with a male:female ratio of 1:1.15. All @entity1 presented with acute right lower @entity490 and localized rebound tenderness. All were diagnosed preoperatively as having @entity698 . The mean duration of symptoms was 2 days (range: 1-6 days). Two treatment groups were identified. Group A (n = 16; 53%) received appendicectomy alone, while group B (n = 14; 47%) underwent diverticulectomy in addition to appendicectomy, including one @entity1 with @entity4436 . Overall, there was no procedure-related morbidity or mortality. Both groups received a similar duration of broad-spectrum antibiotics. All the @entity1 were interviewed by phone after operation to detect any recurrence of symptoms, with a median follow-up interval of 34 months (range: 11-78 months). There was no recurrence of symptoms in group A, which received appendicectomy and antibiotics. The only difference was operative time. CONCLUSION: For non- @entity4436 of the right colon, appendicectomy and intravenous antibiotics without diverticulectomy is the preferred treatment strategy.

Conservative approach is feasible in the management of acute XXXX of the right colon.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity698 :: ('MESH:D001064', 'Disease') :: ['appendicitis'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity4436 :: ('MESH:D004238', 'Disease') :: ['diverticulitis', 'perforated diverticulitis']
@entity4436 :: (MESH:D004238,Disease) :: ['diverticulitis']
