대한대장항문학회

Diverticular disease of the colon is uncommon in Korea and usually developed at right<br>colon as congenital, true type in Orientals. Authors reviewed 13 cases of diverticulitis of<br>the right colon treated with surgically at the Department of Surgery, Pohang Sun-rin<br>Hospital and Keimyung University Dong-san Hospital, from April 1989 to July 1993.<br>The results were as follows.<br>1) The peak incidence of age group was the fourth decade and male to female sex<br>ratio was 1.6 : 1.<br>2) The most frequent symptoms and signs were RLQ Pain, RLQ tenderness, RLQ<br>rebound tenterness, and mild RLQ rigidity.<br>3) The leukocytosis(over 10,000/mm<sup>3</sup>) was found in 9 cases but normal<br>range in 4 cases.<br>4) Preoperative diagnostic studies were ultrasonography, barium enema and abdominal<br>CT.<br>5) The diagnostic accuracy was 23.1%. Most common preoperative impression was<br>acute appendicitis in 6 cases.<br>6) Surgical procedures were simple diverticulectomy in 7 cases and right<br>hemicolectomy in 6 case<br>7) The numbers of diverticula were single in 11 cases and multiple in 2 cases.<br>8) The most common location of diverticulum was pericecal area in 11 cases.<br>9) Among 13 cases of right colonic diverticular disease, 10 cases of them were false<br>type and 3 were true type by histopathologic classification.<br>10) The postoperative complications were wound infection in 1 case, wound seroma in<br>1 case, and postoperative adhesion in 1 case. There was no postoperative mortality.<br>