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Acute presentation of a solitary caecal diverticulum: a case report

INTRODUCTION: Solitary caecal diverticulitis is a rare cause of abdominal pain in Caucasian patients. The condition is often misdiagnosed and only correctly identified on exploration for suspected acute appendicitis. Our aim is to improve awareness of this condition amongst surgical trainees to ensu...

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Autores principales: Griffiths, Ewen A, Date, Ravindra S
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2174501/
https://www.ncbi.nlm.nih.gov/pubmed/17996100
http://dx.doi.org/10.1186/1752-1947-1-129
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author Griffiths, Ewen A
Date, Ravindra S
author_facet Griffiths, Ewen A
Date, Ravindra S
author_sort Griffiths, Ewen A
collection PubMed
description INTRODUCTION: Solitary caecal diverticulitis is a rare cause of abdominal pain in Caucasian patients. The condition is often misdiagnosed and only correctly identified on exploration for suspected acute appendicitis. Our aim is to improve awareness of this condition amongst surgical trainees to ensure that its first encounter is not in the operating theatre. We review the role of pre-operative radiological imaging in this condition and the wide and controversial management options are also discussed. CASE PRESENTATION: A 67 years old man was admitted with a 24 hour history of pain in right iliac fossa. A pre-operative diagnosis of acute appendicitis was made but at operation a 2.5 cm inflamed and gangrenous solitary diverticulum of caecum was found. This was treated by right hemicolectomy as there was the suspicion of underlying malignancy. CONCLUSION: Caecal diverticulitis, although rare in the Western population, should be considered in the differential diagnosis of patients complaining of right iliac fossa pain. The surgical approach should be tailored to the clinical scenario but may include conservative management, diverticulectomy, limited ileocaecal resection or right hemicoloectomy.
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spelling pubmed-21745012008-01-04 Acute presentation of a solitary caecal diverticulum: a case report Griffiths, Ewen A Date, Ravindra S J Med Case Reports Case Report INTRODUCTION: Solitary caecal diverticulitis is a rare cause of abdominal pain in Caucasian patients. The condition is often misdiagnosed and only correctly identified on exploration for suspected acute appendicitis. Our aim is to improve awareness of this condition amongst surgical trainees to ensure that its first encounter is not in the operating theatre. We review the role of pre-operative radiological imaging in this condition and the wide and controversial management options are also discussed. CASE PRESENTATION: A 67 years old man was admitted with a 24 hour history of pain in right iliac fossa. A pre-operative diagnosis of acute appendicitis was made but at operation a 2.5 cm inflamed and gangrenous solitary diverticulum of caecum was found. This was treated by right hemicolectomy as there was the suspicion of underlying malignancy. CONCLUSION: Caecal diverticulitis, although rare in the Western population, should be considered in the differential diagnosis of patients complaining of right iliac fossa pain. The surgical approach should be tailored to the clinical scenario but may include conservative management, diverticulectomy, limited ileocaecal resection or right hemicoloectomy. BioMed Central 2007-11-09 /pmc/articles/PMC2174501/ /pubmed/17996100 http://dx.doi.org/10.1186/1752-1947-1-129 Text en Copyright © 2007 Griffiths and Date; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Griffiths, Ewen A
Date, Ravindra S
Acute presentation of a solitary caecal diverticulum: a case report
title Acute presentation of a solitary caecal diverticulum: a case report
title_full Acute presentation of a solitary caecal diverticulum: a case report
title_fullStr Acute presentation of a solitary caecal diverticulum: a case report
title_full_unstemmed Acute presentation of a solitary caecal diverticulum: a case report
title_short Acute presentation of a solitary caecal diverticulum: a case report
title_sort acute presentation of a solitary caecal diverticulum: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2174501/
https://www.ncbi.nlm.nih.gov/pubmed/17996100
http://dx.doi.org/10.1186/1752-1947-1-129
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