Objective: To describe the clinical and paraclinical characteristics and surgical outcomes of complicated cecal diverticulitis at Viet Tiep Friendship Hospital from January 2024 to January 2026.
Methods: A retrospective descriptive study was conducted on 32 patients aged 18 years or older who were diagnosed with and surgically treated for complicated cecal diverticulitis.
Results: The mean age was 59.8 ± 16.1 years, with patients aged ≥ 60 years accounting for 56.3%. The male-to-female ratio was 5:3. Clinically, right iliac fossa pain was present in 100% of cases, and abdominal guarding was observed in 96.9%. Hinchey grade III accounted for 65.6% and grade IV for 34.4%. Computed tomography identified perforated diverticulum in 78.1% of cases. Primary resection with anastomosis was performed in 84.4% of patients. The mean postoperative hospital stay was 11.5 ± 5.0 days. The early postoperative complication rate was 9.4% and the mortality rate was 3.1%.
Conclusion: Early postoperative outcomes in this study group were promising; however, preoperative diagnosis remained challenging. Enhanced use of computed tomography in the diagnostic workup and optimization of postoperative care protocols are recommended to reduce complications and shorten hospital stay.