Solitary Cecal Diverticulitis Research Articles

Colonic diverticulitis in children: A retrospective study of 16 patients.

Pediatric colonic diverticulitis (CD) is a rare entity. This study aimed to investigate the clinical features of CD in children. We performed a retrospective chart review of children aged ≤15 years who were diagnosed with CD in our institution from May 2006 to November 2016. Sixteen patients were diagnosed with CD. All CD cases were observed to be solitary cecal diverticulitis; 14 cases were detected using ultrasound and the other two cases were diagnosed by computed tomography. Five patients were male (31.3%), and the median age was 12 years (range, 8-15 years). Initial symptoms were fever (temperature >38°C) in six (37.5%) patients, right lower quadrant abdominal pain in 16 (100%), anorexia in eight (50%), and nausea / vomiting in five (31.3%). A patient experienced persistent constipation; however, diarrhea was not observed as a clinical symptom in any patient. The median duration from symptom onset to admission was 1 day (range, 0-4 days), and the median length of hospital stay was 6 days (range, 4-10 days). All CD cases were treated with intravenous antibiotics. The median follow-up period was 90 months (range, 37-163 months), and during this period, recurrence of CD was observed in three (18.8%) patients. At recurrence, antibiotics were administered in all cases. In this study, all cases of CD were solitary cecal diverticulitis, and ultrasound was useful for the diagnosis of cecal diverticulitis in children. Non-operative treatment should be recommended as an initial treatment for CD in children.

Management of solitary cecum diverticulitis - Single-Center Experience.

<b> Objective: </b> Cecal diverticulitis may be encountered as a real etiological factor in 1/300 appendectomies. Differential diagnosis of acute appendicitis and cecal diverticulitis is crucial because of the different treatment methods. Our aim is to reveal the importance of distinguishing acute appendicitis from cecal diverticulitis. <p> <b>Methods: </b> The data of patients who were admitted to the hospital between 2015 and 2019 with the complaint of abdominal pain and then finally diagnosed with colon diverticular disease, colon diverticulitis, or acute appendicitis, analyzed retrospectively. <p><b>Results: </b> A total of 19 cecum diverticulitis patients were detected during surgery for acute appendicitis or during clinical and radiological evaluation. 1247 appendectomies were evaluated; the final diagnosis was observed as cecal diverticulitis in 5 patients (0,4%). One hundred nineteen patients diagnosed with colonic diverticulitis at admission were evaluated, while 105 (88,2%) of them had left-sided diverticulitis, 14 (11,7%) of them had solitary cecal diverticulitis. All of the solitary cecal diverticulitis patients were treated conservatively, except one patient who has Hinchey 3 diverticulitis.<p><b> Conclusion: </b> Differential diagnosis of cecum diverticulitis with acute appendicitis is important because cecum diverticulitis can be managed as conservatively in most cases. In order to prevent unnecessary surgical interventions, this importance has increased, especially during the COVID-19 pandemic period.

Lesson from a Cecal Phlegmon: From an Acute Appendicitis to a Solitary Cecal Diverticulitis

Lesson from a Cecal Phlegmon: From an Acute Appendicitis to a Solitary Cecal Diverticulitis

Solitary Cecal Diverticulitis During Surgery for Acute Appendicitis.

Background: Caecal diverticulitis is an unusual condition that presents clinically similar to appendicitis. The diagnosis is not always easy and in the majority of cases, it is usually made at laparotomy. The aim of the present study is to retrospectively report our personal experience with solitary caecal diverticulitis, to determine its incidence in patients presenting as an acute abdomen, as well as identify the symptoms and clinical features that may aid in making a pre-operative diagnosis. And to compare this with a review of the literature, focusing on the surgical treatment and also on the indication of appendectomy in the presence of caecal diverticulitis not requiring surgery.
 Materials and methods: Data was collected in patients hospitalized for acute appendicitis or acute abdomen, in the surgical emergency unit of University Hospital Center "Mother Teresa" of Tirana, in a period of 3 years (2015-2017). Sex, age, duration of symptoms, preoperative diagnosis, management, intraoperative findings, histologic examination, length of hospital stay and complications of allpatients affected by solitary caecal diverticulitis were reviewed.
 Results: In the study period, 15 patients presented with a solitary caecal diverticulitis. Most of patients had pain in the right iliac fossa, with a duration of 2–6 days. All patients presented with abdominal pain, additional symptoms were nausea, vomiting and fever. The mean white blood cell count was from 8500-19.200/mm3, while the remaining laboratory results were normal. There were no specific findings on abdominal X-ray or ultrasonography. Intraoperative findings ranged from localized /circumscript peritonitis to generalised peritonitis due to acute diverticulitis and a normal appendix. Surgery ranged from diverticulum resection accompanied to appendectomy, to ileocaecal resection, and right hemicolectomy.
 Conclusions: Cecal diverticulitis should be included in the differen­tial diagnosis of the cases with pain in the right lower quadrant. Preoperative diagnosis of caecal diverticulitis cannot always be made, since the signs and symptoms are similar to acute appendicitis, but is impor­tant in order to decide how to manage this condition.Diverticulectomy and incidental appendectomy are the preferred method of treatment in uncomplicated cases. Right hemicolectomy is a recommended treatment option in complicated patients or those suspicious for tumor during surgery.

Solitary Cecal Diverticulitis Mimicking Acute Appendicitis in A Child: Intraoperative Diagnosis

Right colonic and cecal diverticulitis can mimic acute appendicitis. A 14-year-old, 105-kg boy presented at the emergency department with symptoms mimicking acute appendicitis. Surgery revealed a case of perforated solitary cecal diverticulitis. Diverticulosis is a disease known to be common in adulthood, but the incidence is increasing in childhood. Therefore, emergency room residents and pediatric surgeons need to keep this diagnosis in mind in the differential diagnosis of acute appendicitis. Early clarification of the etiology will enable the planning of the best treatment strategy.

Solitary cecal diverticulitis: Report of 3 cases and literature review

Solitary cecal diverticulitis: Report of 3 cases and literature review

Intraoperative diagnosis of solitary cecal diverticulum not requiring surgery: is appendectomy indicated?

AimTo compare experience with solitary cecal diverticulum (SCD) with literature on the indication for appendectomy in cases of solitary cecal diverticulitis.MethodsWe retrospectively reviewed all cases of SCD in our institution from September 2011 to March 2013. Data on sex, age, ethnic origin, presence of pain in the right iliac fossa, duration of symptoms, diagnosis, management, intraoperative findings, histologic examination, hospital stay, complications, and follow-up were reviewed and analyzed. We compared this to related literature reported between 2000 and 2015.ResultsIn the study period, 10 patients presented with an SCD. Male sex and Asian origin were predominant. All patients had pain in the right iliac fossa, with a duration of 2–5 days. In nine cases the diagnosis was made by clinical examination and laboratory testing. One patient who had undergone a previous appendectomy was diagnosed with SCD by computed tomography. This last patient was treated conservatively, four patients were treated with resection of the cecum “en bloc” with the last jejunal loop and appendix, and the other five patients were treated with appendectomies. Two patients had minor complications. All patients were followed up for a minimum of 12 to a maximum of 24 months. No recurrence was recorded in either the case treated conservatively or the cases treated by appendectomies.ConclusionsIn cases of operative but conservative treatment for SCD, appendectomy could be justified to avoid misdiagnosis in case of future episodes of solitary cecal diverticulitis.

Solitary cecal diverticulitis: an unusual cause of acute right iliac fossa pain-a case report and review of the literature.

Solitary cecal diverticulitis is a rare cause of acute abdominal pain in the Western world. Its clinical presentation, in most cases, mimics acute appendicitis. A 38-year-old Caucasian man presented with acute abdomen and clinical signs of acute appendicitis. Laparotomy was performed and revealed an inflammatory, solitary diverticulum of the cecum. A typical appendectomy was performed and a catheter was inserted for draining percutaneously the inflamed diverticulum of the cecum. The patient had an uneventful recovery and was discharged on the 4th postoperative day. This frequently misdiagnosed condition, in most cases, is being suspected and identified intraoperatively as acute appendicitis. The aim of this study is to review the available different surgical management options and to present an alternative therapeutic approach that may be valuable under specific circumstances.

Solitary Cecal Diverticulitis Mimicking Acute Appendicitis in a 17-year-old Girl: A Common Presentation of a Rare Disease

Solitary Cecal Diverticulitis Mimicking Acute Appendicitis in a 17-year-old Girl: A Common Presentation of a Rare Disease

Solitary Cecal Diverticulitis Mimicking Malignancy: Case Report and Review of the Literature

Solitary Cecal Diverticulitis Mimicking Malignancy: Case Report and Review of the Literature

Therapy of Solitary Cecal Diverticulitis in a Young Patient With Laparoscopic Right Hemicolectomy

Cecal diverticulum of colon is a relatively rare and benign condition in the western world. The reported frequency is approximately 1 in 300 appendectomies. They are usually asymptomatic but it may cause inflammatory, hemorrhagic, or perforatory complications. It is often clinically indistinguishable from acute appendicitis. The diagnosis is almost made intraoperatively. We present a 21-year-old female patient who admitted to our emergency unit with right lower quadrant abdominal pain. Diagnostic laparoscopy was performed due to suspicious acute appendicitis. During exploration, an inflammatory mass originated from cecum was noticed. Laparoscopic right hemicolectomy was performed due to suspicious malignant mass. The postoperative course was uneventful. Although radiologic techniques are improved; the diagnosis of solitary cecal diverticulum is difficult. The choice of surgical therapy is controversial. The therapy is ranged from a simple diverticulectomy to right hemicolectomy. Diagnostic laparoscopy can help the surgeon in the diagnosis of right lower quadrant pain and therapy of solitary cecal diverticulitis.

Solitary cecal diverticulitis: report of a case

Solitary cecal diverticulitis: report of a case

Solitary Cecal Diverticulitis: Report of a Case

BACKGROUND: Cecal diverticulitis is an uncommon clinical entity with unknown etiology. Since the symptoms and signs of cecal diverticulitis can mimic acute appendicitis, accurate preoperative diagnosis is difficult. METHODS: We report a case of solitary true cecal diverticulitis treated surgically and discuss the diagnosis and management of this rare clinical condition. RESULTS: A 22-year-old woman was admitted to the hospital with right abdominal pain, nausea and vomiting. With preoperative diagnosis of acute appendicitis, laparotomy was performed; following diagnosis of a closed perforated cecal diverticululum, a diverticulectomy with incidental appendectomy was performed. The postoperative course was uneventful and the patient was discharged on the 5th postoperative day. CONCLUSIONS: A high index of suspicion is needed to diagnose the disease preoperatively and intraoperatively. Several management modalities, ranging from medical management to the radical surgery (such as a right hemicolectomy), are acceptable and should be selected according to the individual case. Diverticulectomy is indicated in the case of solitary diverticulitis if there is no evidence of carcinoma or abscess formation.

A Case of a Solitary Cecal Diverticulitis

A Case of a Solitary Cecal Diverticulitis

Solitary cecal diverticulitis

Solitary cecal diverticulitis is an infrequent condition which simulates acute appendicitis. It should be considered in the differential diagnosis of pain in the right lower quadrant of the abdomen. Clinical features which may suggest this diagnosis are absence of vomiting, moderate abdominal signs and occasionally a more prolonged history then one usually encounters in acute appendicitis. Recognition of the correct pathologic diagnosis at operation will determine the proper choice of procedure. Simple diverticulectomy is the treatment of choice when possible.

SOLITARY CECAL DIVERTICULITIS

The general surgeon is probably called on to operate in the right lower quadrant of the abdomen more frequently than in any other region and here preponderantly for inflammatory lesions of the vermiform appendix. It is my purpose in this paper to call attention to a condition closely resembling appendicitis, a condition which is seldom considered in the differential diagnosis and one which is scarcely mentioned in any of the standard textbooks of surgery. In discussing a series of 118 cases of diverticulitis of the colon, Judd and Pollock 1 made no mention of cecal diverticulitis simulating appendicitis. Solitary cecal diverticulitis should not be confused with multiple diverticulitis, which may involve the cecum and ascending colon— examples of this condition having occurred from time to time in the surgical service of Johns Hopkins Hospital. Instances of solitary cecal diverticulitis have been reported in the literature from time to time and