A rare disease presenting with acute abdominal pain in a girl: Solitary cecal diverticulum
Year 2025,
Volume: 11 Issue: 5, 1023 - 1028, 04.09.2025
Hakan Özcan
,
Mehmet Özer
,
Mete Kaya
Abstract
Solitary cecal diverticulum (SCD) is a rare gastrointestinal disease, especially in children, predominantly observed in middle-aged Asian men, and presented with nonspecific symptoms similar to acute appendicitis. Herein we report a case of SCD in a 15-year-old girl who had acute abdominal pain symptoms, and was diagnosed intraoperatively. The SCD, which contained a fecalith, was excised, followed by cecal repair and an appendectomy. Histopathological examination confirmed the diagnosis of SCD. This case highlights the importance of considering SCD in the differential diagnosis of acute abdominal pain, particularly in pediatric patients.
Ethical Statement
Ethics Committee approval is not required for this study. This study is a case report. Patient was informed about the purpose of the case report, and written informed consent was obtained from the patient’s family for this publication.
References
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1. Potier F. Diverticulite et appendicite. Bull Mem Soc Anat Paris. 1912;37:29-31.
-
2. Sardi A, Gokli A, Singer JA. Diverticular disease of the cecum and ascending colon. A review of 881 cases. Am Surg. 1987;53(1):41-45.
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3. Cristaudo A, Pillay P, Naidu S. Caecal diverticulitis: Presentation and management. Ann Med Surg (Lond). 2015;4(1):72-75.
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4. Lee ZW, Albright EA, Brown BP, Markel TA. Congenital cecal diverticulitis in a pediatric patient. J Pediatr Surg Case Rep. 2021;72:101929. doi: 10.1016/j.epsc.2021.101929.
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5. Li X, Liu W, Zhang S, Liu H. Diagnosis and treatment experience of cecal diverticulitis in six pediatric patients. Front Pediatr. 2024;12:1478296. doi: 10.3389/fped.2024.1478296.
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6. Abuelazm S, Kanumalla H, Taborda-Alvarez M, Eisdorfer J, Basak R. Acute Right-Sided Abdominal Pain in an Adolescent: Expect the Unexpected. Cureus. 2021;13(7):e16649. doi: 10.7759/cureus.16649.
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7. Çil ATB, Gümüş S. Solitary Cecal Diverticulitis Mimicking Acute Appendicitis in a Child: Intraoperative Diagnosis. Sisli Etfal Hastan Tip Bul. 2019;53(4):433-436. doi: 10.14744/SEMB.2017.76588.
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8. Stollman N, Raskin JB. Diverticular disease of the colon. Lancet. 2004;363(9409):631-639. doi: 10.1016/S0140-6736(04)15597-9.
-
9. Hildebrand P, Kropp M, Stellmacher F, Roblick UJ, Bruch HP, Schwandner O. Surgery for right-sided colonic diverticulitis: results of a 10-year-observation period. Langenbecks Arch Surg. 2007;392(2):143-147. doi: 10.1007/s00423-006-0109-6.
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10. Turner GA, O'Grady MJ, Purcell RV, Frizelle FA. The Epidemiology and Etiology of Right-Sided Colonic Diverticulosis: A Review. Ann Coloproctol. 2021;37(4):196-203. doi: 10.3393/ac.2021.00192.0027.
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11. Cave AJ. Appendix Vermiformis Duplex. J Anat. 1936;70(Pt 2):283-292.
-
12. Connolly D. Solitary caecal diverticulitis. Ulster Med J. 2006;75(2):158.
-
13. Uhe I, Meyer J, Viviano M, et al. Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature. Colorectal Dis. 2021;23(10):2515-2526. doi: 10.1111/codi.15818.
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14. Wyble EJ, Lee WC. Cecal diverticulitis: changing trends in management. South Med J. 1988;81(3):313-316. doi: 10.1097/00007611-198803000-00006.
-
15. Abogunrin FA, Arya N, Somerville JE, Refsum S. Solitary caecal diverticulitis--a rare cause of right iliac fossa pain. Ulster Med J. 2005;74(2):132-133.
-
16. Chou YH, Chiou HJ, Tiu CM, et al. Sonography of acute right side colonic diverticulitis. Am J Surg. 2001;181(2):122-127. doi: 10.1016/s0002-9610(00)00568-7.
-
17. Brettner A, Euphrat EJ. Radiological significance of primary enterolithiasis. Radiology. 1970;94(2):283-288.
-
18. Jang HJ, Lim HK, Lee SJ, Lee WJ, Kim EY, Kim SH. Acute diverticulitis of the cecum and ascending colon: the value of thin-section helical CT findings in excluding colonic carcinoma. AJR Am J Roentgenol. 2000;174(5):1397-1402. doi: 10.2214/ajr.174.5.1741397.
-
19. Lane JS, Sarkar R, Schmit PJ, Chandler CF, Thompson JE Jr. Surgical approach to cecal diverticulitis. J Am Coll Surg. 1999;188(6):629-634; discussion 634-635. doi: 10.1016/s1072-7515(99)00043-5.
-
20. Wood EH, Sigman MM, Hayden DM. Special Situations in the Management of Diverticular Disease. Clin Colon Rectal Surg. 2021;34(2):121-126. doi: 10.1055/s-0040-1716704.
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21. Lee JM, Bai P Chang J, El Hechi M, et al. Hartmann's Procedure vs Primary Anastomosis with Diverting Loop Ileostomy for Acute Diverticulitis: Nationwide Analysis of 2,729 Emergency Surgery Patients. J Am Coll Surg. 2019;229(1):48-55. doi: 10.1016/j.jamcollsurg.2019.03.007.
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22. Francis NK, Sylla P, Abou-Khalil M, et al. EAES and SAGES 2018 consensus conference on acute diverticulitis management: evidence-based recommendations for clinical practice. Surg Endosc. 2019;33(9):2726-2741. doi: 10.1007/s00464-019-06882-z.
-
23. Kaya C, Celayir MF, Bozkurt E, Omeroglu S, Guven O, Mihmanli M. Solitary caecal diverticulitis: Comparison of operative and non operative treatment. J Pak Med Assoc. 2020;70(11):1926-1929. doi: 10.5455/JPMA.12674.
Year 2025,
Volume: 11 Issue: 5, 1023 - 1028, 04.09.2025
Hakan Özcan
,
Mehmet Özer
,
Mete Kaya
References
-
1. Potier F. Diverticulite et appendicite. Bull Mem Soc Anat Paris. 1912;37:29-31.
-
2. Sardi A, Gokli A, Singer JA. Diverticular disease of the cecum and ascending colon. A review of 881 cases. Am Surg. 1987;53(1):41-45.
-
3. Cristaudo A, Pillay P, Naidu S. Caecal diverticulitis: Presentation and management. Ann Med Surg (Lond). 2015;4(1):72-75.
-
4. Lee ZW, Albright EA, Brown BP, Markel TA. Congenital cecal diverticulitis in a pediatric patient. J Pediatr Surg Case Rep. 2021;72:101929. doi: 10.1016/j.epsc.2021.101929.
-
5. Li X, Liu W, Zhang S, Liu H. Diagnosis and treatment experience of cecal diverticulitis in six pediatric patients. Front Pediatr. 2024;12:1478296. doi: 10.3389/fped.2024.1478296.
-
6. Abuelazm S, Kanumalla H, Taborda-Alvarez M, Eisdorfer J, Basak R. Acute Right-Sided Abdominal Pain in an Adolescent: Expect the Unexpected. Cureus. 2021;13(7):e16649. doi: 10.7759/cureus.16649.
-
7. Çil ATB, Gümüş S. Solitary Cecal Diverticulitis Mimicking Acute Appendicitis in a Child: Intraoperative Diagnosis. Sisli Etfal Hastan Tip Bul. 2019;53(4):433-436. doi: 10.14744/SEMB.2017.76588.
-
8. Stollman N, Raskin JB. Diverticular disease of the colon. Lancet. 2004;363(9409):631-639. doi: 10.1016/S0140-6736(04)15597-9.
-
9. Hildebrand P, Kropp M, Stellmacher F, Roblick UJ, Bruch HP, Schwandner O. Surgery for right-sided colonic diverticulitis: results of a 10-year-observation period. Langenbecks Arch Surg. 2007;392(2):143-147. doi: 10.1007/s00423-006-0109-6.
-
10. Turner GA, O'Grady MJ, Purcell RV, Frizelle FA. The Epidemiology and Etiology of Right-Sided Colonic Diverticulosis: A Review. Ann Coloproctol. 2021;37(4):196-203. doi: 10.3393/ac.2021.00192.0027.
-
11. Cave AJ. Appendix Vermiformis Duplex. J Anat. 1936;70(Pt 2):283-292.
-
12. Connolly D. Solitary caecal diverticulitis. Ulster Med J. 2006;75(2):158.
-
13. Uhe I, Meyer J, Viviano M, et al. Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature. Colorectal Dis. 2021;23(10):2515-2526. doi: 10.1111/codi.15818.
-
14. Wyble EJ, Lee WC. Cecal diverticulitis: changing trends in management. South Med J. 1988;81(3):313-316. doi: 10.1097/00007611-198803000-00006.
-
15. Abogunrin FA, Arya N, Somerville JE, Refsum S. Solitary caecal diverticulitis--a rare cause of right iliac fossa pain. Ulster Med J. 2005;74(2):132-133.
-
16. Chou YH, Chiou HJ, Tiu CM, et al. Sonography of acute right side colonic diverticulitis. Am J Surg. 2001;181(2):122-127. doi: 10.1016/s0002-9610(00)00568-7.
-
17. Brettner A, Euphrat EJ. Radiological significance of primary enterolithiasis. Radiology. 1970;94(2):283-288.
-
18. Jang HJ, Lim HK, Lee SJ, Lee WJ, Kim EY, Kim SH. Acute diverticulitis of the cecum and ascending colon: the value of thin-section helical CT findings in excluding colonic carcinoma. AJR Am J Roentgenol. 2000;174(5):1397-1402. doi: 10.2214/ajr.174.5.1741397.
-
19. Lane JS, Sarkar R, Schmit PJ, Chandler CF, Thompson JE Jr. Surgical approach to cecal diverticulitis. J Am Coll Surg. 1999;188(6):629-634; discussion 634-635. doi: 10.1016/s1072-7515(99)00043-5.
-
20. Wood EH, Sigman MM, Hayden DM. Special Situations in the Management of Diverticular Disease. Clin Colon Rectal Surg. 2021;34(2):121-126. doi: 10.1055/s-0040-1716704.
-
21. Lee JM, Bai P Chang J, El Hechi M, et al. Hartmann's Procedure vs Primary Anastomosis with Diverting Loop Ileostomy for Acute Diverticulitis: Nationwide Analysis of 2,729 Emergency Surgery Patients. J Am Coll Surg. 2019;229(1):48-55. doi: 10.1016/j.jamcollsurg.2019.03.007.
-
22. Francis NK, Sylla P, Abou-Khalil M, et al. EAES and SAGES 2018 consensus conference on acute diverticulitis management: evidence-based recommendations for clinical practice. Surg Endosc. 2019;33(9):2726-2741. doi: 10.1007/s00464-019-06882-z.
-
23. Kaya C, Celayir MF, Bozkurt E, Omeroglu S, Guven O, Mihmanli M. Solitary caecal diverticulitis: Comparison of operative and non operative treatment. J Pak Med Assoc. 2020;70(11):1926-1929. doi: 10.5455/JPMA.12674.