Tiflit is inflammation of the cecum.
Tiflit is a type of segmental colitis. An isolated lesion of the cecum is extremely rare. More often the inflammatory process extends to the ascending part of the colon or ileal.
In addition to the causes of diffuse colitis (see), in the occurrence of typhlitis, the prolonged delay of the intestinal contents in the cecum (tiflostasis) due to lengthening or omission of the cecum, its anomalous position, the development of adhesions, impaired function of the ileo-cecal sphincter is important. As a result of typhlostasis in the cecum fermentative and putrefactive processes develop excessively.
Infection can reach the cecum as hematogenous (eg, influenza) and lymphogenically (for example, with inflammation of the ovary, appendix ). In most cases, acute typhlitis and peripiflit are complications of acute appendicitis.
There are acute and chronic typhlitis.
Acute tiflitis is characterized by a seizure of severe cramping pains in the right ileal region, giving off in the right groin , thigh and lower back, sometimes with nausea , vomiting and fever. Palpation is determined by unsharp pain in the right ileal region, rumbling and the noise of the splash in the cecum.
Chronic typhlitis is characterized by a cyclical course. During periods of improvement, patients experience only discomfort and slight pain in the right iliac region. During periods of worsening pain intensifies, constipation alternates with diarrhea , the temperature rises to subfebrile digits, there comes a general weakness, a decrease in working capacity.
Complications: perififlit (transition of the inflammatory process to the serous membrane), appendicitis, paratiflit (inflammation of the retroperitoneal fat adjacent to the caecum).
Acute typhoid in the clinical picture is very similar to acute appendicitis (see). Differential diagnosis of them is not always possible. In these cases, surgical treatment is indicated.
Treatment, prognosis, prevention - see Kolit.