Cecal diverticulitis mimicking acute appendicitis

Cecal diverticulitis is a rare cause of acute abdomen and is often confused with appendicitis because of physical examination findings that suggest appendicitis. Here I present a case of an 48-year-old female with cecal diverticulitis who was medically treated. This study aimed to create awareness for cecal diverticulitis and help avoid unnecessary surgical procedures for medically treatable pathologies.

Keywords:

Cecum, diverticulitis emergency department,

PDF

___

[1] Kurer MA. Solitary caecal diverticulitis as an unusual cause of a right iliac fossa mass: a case report. J Med Case Rep 2007;1:132.
[2] Griffiths EA, Bergin FG, Henry JA, Mudawi AM. Acute inflammation of a congenital cecal diverticulum mimicking appendicitis. Med Sci Monit 2003;9:107-9.
[3] Papapolychroniadis C, Kaimakis D, Fotiadis P, Karamanlis E, Stefopoulou M, Kouskauras K, et al. Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of two cases and review of the literature. Tech Coloproctol 2004;8:S116-8.
[4] Yardımcı E, Hasbahceci M, İdiz UO, Atay M, Akbulut H. Is surgery necessary to confirm diagnosis of right-sided diverticulitis in spite of relevant clinical and radiological findings? Ulus Travma Acil Cerrahi Derg 2017;23:61-5.
[5] Chou Y-H, Chiou H-J, Tiu C-M, Chen J-D, Hsu C-C, Lee C-H, et al. Sonography of acute right side colonic diverticulitis. Am J Surg 2001;181:122-7.
[6] Komuta K, Yamanaka S, Okada K, Kamohara Y, Ueda T, Makimoto N, et al. Toward therapeutic guidelines for patients with acute right colonic diverticulitis. Am J Surg 2004;187:233-7.
[7] Puylaert JB. Ultrasound of colon diverticulitis. Digest Dis 2012;30:56-9.
[8] Heller MT, Bhargava P. Multi-detector computed tomography of acute cecal conditions. Emerg Radiol 2014;21:75-82.
[9] Mudatsakis N, Nikolaou M, Krithinakis K, Matalliotakis M, Politis N, Andreadakis E. Solitary cecal diverticulitis: an unusual cause of acute right iliac fossa pain-a case report and review of the literature. Case Rep Surg 2014;2014:131452.
[10] Jacobs DO. Diverticulitis. N Eng J Med 2007;357:2057-66.
[11] Hildebrand P, Kropp M, Stellmacher F, Roblick U, Bruch H-P, Schwandner O. Surgery for right-sided colonic diverticulitis: results of a 10-year-observation period. Langenbecks Arch Surg 2007;392:143-7.