Acute inflammation of a congenital cecal diverticulum mimicking appendicitis

Cecal diverticulitis is a relatively rare problem in the Western world. It is often clinically indistinguishable from acute appendicitis. We present a case of a young woman who was suspected to have acute appendicitis prior to operation. At operation an unexpected and suspicious cecal mass was found...

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Bibliographic Details
Published in:	Medical science monitor Vol. 9; no. 12; p. CS107
Main Authors:	Griffiths, Ewen A, Bergin, Fintan G, Henry, James A, Mudawi, Ahmed M
Format:	Journal Article
Language:	English
Published:	United States 01-12-2003
Subjects:	Acute Disease Adult Appendicitis - diagnosis Cecal Diseases - congenital Cecal Diseases - diagnosis Diagnosis, Differential Diverticulitis - diagnosis Diverticulum - congenital Diverticulum - diagnosis Female Gastroenteritis - diagnosis Humans
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Summary:	Cecal diverticulitis is a relatively rare problem in the Western world. It is often clinically indistinguishable from acute appendicitis. We present a case of a young woman who was suspected to have acute appendicitis prior to operation. At operation an unexpected and suspicious cecal mass was found and the procedure was revised to a right hemicolectomy. Subsequent histological examination revealed an acutely inflamed solitary, congenital diverticulum of the cecum. We would like to highlight this uncommon condition to ensure that its first encounter is not in the operating theatre. The varied and controversial management options are briefly discussed.
ISSN:	1234-1010