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Cecal diverticulitis mimicking acute Appendicitis: a report of 4 cases.

Karatepe O, Gulcicek OB, Adas G, Battal M, Ozdenkaya Y, Kurtulus I, Altiok M, Karahan S - World J Emerg Surg (2008)

Bottom Line: Most patients with inflammation of a solitary diverticulum of the cecum present with abdominal pain that is indistinguishable from acute appendicitis.The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection.We describe four cases that presented with symptoms suggestive of appendicitis, but were found at operation to have an inflamed solitary diverticulum.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of General Surgery, Okmeydaný Training and Research Hospital, Istanbul, Turkey. drkaratepe@yahoo.com.

ABSTRACT
Diverticulum of the cecum is a rare, benign, generally asymptomatic lesion that manifests itself only following inflammatory or hemorrhagic complications. Most patients with inflammation of a solitary diverticulum of the cecum present with abdominal pain that is indistinguishable from acute appendicitis. The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection. We describe four cases that presented with symptoms suggestive of appendicitis, but were found at operation to have an inflamed solitary diverticulum.

No MeSH data available.


Related in: MedlinePlus

A: Intraoperative view. B: Postoperative view.
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Figure 1: A: Intraoperative view. B: Postoperative view.

Mentions: A 32-year-old-male was referred to our emergency unit with pain in the right lower quadrant of the abdomen, vomiting, and nausea that began two days prior to admission. His body temperature was 37.8°C. The physical examination showed rebound-tenderness in the lower right quadrant of the abdomen. Laboratory tests were normal except for high white blood count levels. CT scans showed a tumor in the cecum surrounded by an inflammatory plate. During the surgical exploration, an enlarged posterolateral wall was seen at the cecum, with a normal appendix. A diverticulectomy and incidental appendectomy were performed (Figure 1A,B). The pathological study established the presence of a solitary diverticulum of the cecum with acute diverticulitis.


Cecal diverticulitis mimicking acute Appendicitis: a report of 4 cases.

Karatepe O, Gulcicek OB, Adas G, Battal M, Ozdenkaya Y, Kurtulus I, Altiok M, Karahan S - World J Emerg Surg (2008)

A: Intraoperative view. B: Postoperative view.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2365938&req=5

Figure 1: A: Intraoperative view. B: Postoperative view.
Mentions: A 32-year-old-male was referred to our emergency unit with pain in the right lower quadrant of the abdomen, vomiting, and nausea that began two days prior to admission. His body temperature was 37.8°C. The physical examination showed rebound-tenderness in the lower right quadrant of the abdomen. Laboratory tests were normal except for high white blood count levels. CT scans showed a tumor in the cecum surrounded by an inflammatory plate. During the surgical exploration, an enlarged posterolateral wall was seen at the cecum, with a normal appendix. A diverticulectomy and incidental appendectomy were performed (Figure 1A,B). The pathological study established the presence of a solitary diverticulum of the cecum with acute diverticulitis.

Bottom Line: Most patients with inflammation of a solitary diverticulum of the cecum present with abdominal pain that is indistinguishable from acute appendicitis.The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection.We describe four cases that presented with symptoms suggestive of appendicitis, but were found at operation to have an inflamed solitary diverticulum.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of General Surgery, Okmeydaný Training and Research Hospital, Istanbul, Turkey. drkaratepe@yahoo.com.

ABSTRACT
Diverticulum of the cecum is a rare, benign, generally asymptomatic lesion that manifests itself only following inflammatory or hemorrhagic complications. Most patients with inflammation of a solitary diverticulum of the cecum present with abdominal pain that is indistinguishable from acute appendicitis. The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection. We describe four cases that presented with symptoms suggestive of appendicitis, but were found at operation to have an inflamed solitary diverticulum.

No MeSH data available.


Related in: MedlinePlus