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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: Case 2. B: Case 3. C: Case 4.
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Figure 2: A: Case 2. B: Case 3. C: Case 4.

Mentions: A 26-year-old woman was referred to our hospital after suffering from abdominal pain for four days. The progressively increasing pain started from the left hypogastric region and radiated to the lower quadrants. She had mild nausea, but no vomiting and no change in bowel habits was observed. On physical examination the bowel sounds were decreased. Upon palpation there was a muscular defense in the lower quadrants and epigastric fullness. Biochemical tests were all within the normal limits and abdominal plain X-rays revealed no abnormality. Based on the clinical findings the patient was thus considered to have acute appendicitis and underwent emergency laparotomy. At surgery, the appendix was found in the normal location with a normal appearance and a 2 × 3 cm inflamed mass was found on the anterior wall of the cecum located between the tenia libera and plica ileo-cecalis (Figure 2A). A diverticulectomy and incidental appendectomy were performed.


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: Case 2. B: Case 3. C: Case 4.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: A: Case 2. B: Case 3. C: Case 4.
Mentions: A 26-year-old woman was referred to our hospital after suffering from abdominal pain for four days. The progressively increasing pain started from the left hypogastric region and radiated to the lower quadrants. She had mild nausea, but no vomiting and no change in bowel habits was observed. On physical examination the bowel sounds were decreased. Upon palpation there was a muscular defense in the lower quadrants and epigastric fullness. Biochemical tests were all within the normal limits and abdominal plain X-rays revealed no abnormality. Based on the clinical findings the patient was thus considered to have acute appendicitis and underwent emergency laparotomy. At surgery, the appendix was found in the normal location with a normal appearance and a 2 × 3 cm inflamed mass was found on the anterior wall of the cecum located between the tenia libera and plica ileo-cecalis (Figure 2A). A diverticulectomy and incidental appendectomy were performed.

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