Solitary cecal diverticulitis, a rare cause of right lower quadrant pain: Four cases

Autor: Adem Yuksel, Osman Civil, Muhammed Kadri Çolakoglu, Fatih Sumer, Ahmet Tugrul Eruyar
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: İstanbul Kuzey Klinikleri, Vol 5, Iss 2, Pp 148-152 (2018)
Druh dokumentu: article
ISSN: 2148-4902
DOI: 10.14744/nci.2017.60565
Popis: Solitary cecal diverticulitis is a rare clinical condition. Like diverticulitis in other segments of the colon, it requires immediate surgical intervention if it is causing complications. Solitary cecal diverticulitis may be misdiagnosed as acute appendicitis, since it causes right lower quadrant pain, or as a cecal tumor or inflammatory bowel disease, due to an intraoperative appearance resembling an inflammatory mass. Four patients with solitary cecum diverticulitis presenting with acute right lower quadrant pain are discussed in this report. Three patients underwent surgery with a preliminary diagnosis of acute appendicitis or cecal tumor, and 1 patient was diagnosed with cecal diverticulitis and treated medically. The treatment approach may change depending on a preoperative or intraoperative diagnosis of cecal diverticulitis. Therefore, in areas where this disease is uncommon, cecum diverticulitis should not be forgotten in the differential diagnosis of acute right lower quadrant pain or inflammatory bowel mass.
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