Skip to main content

ORIGINAL RESEARCH article

Front. Pediatr.
Sec. Pediatric Surgery
Volume 12 - 2024 | doi: 10.3389/fped.2024.1478296

Diagnosis and Treatment Experience of Cecal Diverticulitis in Six Pediatric Patients

Provisionally accepted
Xiao Li Xiao Li 1,2Wei Liu Wei Liu 1,2*Shisong Zhang Shisong Zhang 1,2hongzhen liu hongzhen liu 1,2*
  • 1 Children's Hospital Affiliated to Shandong University, Ji nan, China
  • 2 Jinan Children's Hospital, Jinan, Shandong Province, China

The final, formatted version of the article will be published soon.

    Objective:This study aims to summarize the clinical characteristics, diagnostic methods, and treatment experience of cecal diverticulitis in children.The clinical data of six pediatric patients with cecal diverticulitis, treated at Children's Hospital Affiliated to Shandong University from November 2021 to May 2023, were retrospectively analyzed.Result: All patients presented with abdominal pain primarily in the lower right abdomen. Two cases had fever with a maximum body temperature not exceeding 38.0℃. Three cases exhibited elevated inflammatory markers such as white blood cell count and C-reactive protein (CRP) upon admission.Three children were misdiagnosed with acute appendicitis based on preoperative color Doppler ultrasound. Two children were treated with third-generation cephalosporins and ornidazole for anti-inflammatory therapy and were cured after 6 and 9 days of hospitalization, respectively. Four children underwent laparoscopic surgery with excision of the cecal diverticulum and cecal repair, all of whom recovered well without postoperative complications. The operation duration ranged from 100 to 170 minutes, with an average of 140 minutes. Intraoperative blood loss ranged from 5 to 10 ml, averaging 6.75 ml. The overall length of hospital stay was 8 to 12 days, with an average stay of 9.5 days. All patients were followed up until December 2023, with no recurrences observed.Children with cecal diverticulitis,especially complex cecal diverticulitis,are easily misdiagnosed as acute appendicitis.Acute simple cecal diverticulitis can be treated with anti-inflammatory therapy.Laparoscopic cecal diverticulectomy combined with cecal repair is a feasible and effective method for treating acute complex cecal diverticulitis.

    Keywords: Cecal diverticulitis, Children, Clinical Characteristics, diagnosis, Treatment

    Received: 09 Aug 2024; Accepted: 02 Dec 2024.

    Copyright: © 2024 Li, Liu, Zhang and liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Wei Liu, Children's Hospital Affiliated to Shandong University, Ji nan, China
    hongzhen liu, Jinan Children's Hospital, Jinan, Shandong Province, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.