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March 1952

ACUTE DIVERTICULITIS OF THE CECUM: A Report of Four Cases and Review of One Hundred Fifty-Three Surgical Cases

Author Affiliations

Resident in Surgery, Veterans Administration Hospital, West Roxbury, Mass. (Dr. Lauridsen); Chief, Surgical Service, Veterans Administration Hospital, West Roxbury, Mass., and Instructor in Surgery, Harvard and Tufts Medical Schools, Boston, Mass. (Dr. Ross).

AMA Arch Surg. 1952;64(3):320-330. doi:10.1001/archsurg.1952.01260010334007

AMONG 6,114 surgical patients admitted to the Veterans Administration Hospital, West Roxbury, Mass., four cases of diverticulitis of the cecum were encountered in the 18 months ending March 1, 1951. Since this disease is not common, these four cases are reported along with a brief review of the literature on this subject.

Only 149 other surgically proved cases were found after a careful search of the available literature. However, diverticulitis of the cecum may be commoner than is generally realized, and therefore the available information is worth reviewing.


Case 1.  —A 23-year-old clerk entered the hospital on Aug. 23, 1949, with right lower quadrant pain of four days' duration. There had been no nausea or vomiting.Physical examination revealed spasm, tenderness, and rebound tenderness in the right lower quadrant. The temperature was 99.6 F., peristalsis was normal, and no mass was palpable. There was high right rectal