RT Journal
A1 Riseman JA, Wichterman K
T1 EValuation of right hemicolectomy for unexpected cecal mass
JF Archives of Surgery
JO Archives of Surgery
YR 1989
FD September 1
VO 124
IS 9
SP 1043
OP 1044
DO 10.1001/archsurg.1989.01410090049011
UL http://dx.doi.org/10.1001/archsurg.1989.01410090049011
AB • Ileocecal mass is occasionally encountered unexpectedly by surgeons operating for presumed appendicitis. A five-year retrospective study was performed to review the management of this problem. Thirteen patients were identified who had had right hemicolectomy performed for unexpected mass in which neoplasm, diverticular disease, or inflammatory bowel disease could not be differentiated from severe appendicitis at laparotomy. Seven patients (group 1) had a final pathologic diagnosis of appendiceal phlegmon. The other patients (group 2) had Crohn's disease, typhlitis, or neoplasm. Right hemicolectomy was performed with a morbidity of 7% and mortality of 7% in all patients. This procedure is acceptable for unexpected cecal mass.(Arch Surg 1989;124:1043-1044)