TY - JOUR TT - Isolated Partial Cecal Necrosis as a Differential Diagnosis of Right Lower Quadrant Pain: A Common Presentation with an Uncommon Diagnosis AU - Kafadar, Mehmet Tolga AU - Bardakçı, Osman AU - Çetinkaya, İsmail PY - 2018 DA - April JF - Journal of Emergency Medicine Case Reports PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2149-9934 SP - 38 EP - 40 VL - 9 IS - 2 N2 - Introduction: Isolated cecal necrosis is a clinical problem and is usually associated with reduced colonic blood flow, which is rare and mimics acute appendicitis. The findings of many diseases that cause pain in the lower right quadrant of the abdomen are similar to each other, and the diagnosis is usually made during the surgery.Case Report: A 53-year-old woman presented to our emergency department with chief complaints of abdominal pain, loss of appetite, and nausea. There was sensitivity, defense, and rebound in the lower right quadrant during the physical examination. Intraoperative partial cecal necrosis was detected with surgical findings in the patient who was prediagnosed with appendicitis, and partial cecum resection with staplers was performed.Conclusion: While other ischemic diseases of the intestine have high morbidity and mortality rates, the prognosis of isolated cecal necrosis is very good if it is prediagnosed and if surgery is performed on time CR - Kiyak G, Ozgün Y, Sarikaya SM, Korukluoğlu B. Isolated cecal necrosis mimicking acute appendicitis. Turk J Gastroenterol 2008; 19: 71-2. CR - Shahverdi E, Morshedi M, Oraei-Abbasian F, Allahverdi Khani M, Kho- dayarnejad R. A rare case of vasculitis patched necrosis of cecum due to Behçet’s Disease. Case Rep Surg 2017; 2017: 1693737. [CrossRef] CR - Boley SJ. 1989 David H. Sun lecture. Colonic ischemia--25 years later. Am J Gastroenterol 1990; 85: 931-4. CR - Dirican A, Unal B, Bassulu N, Tatlı F, Aydin C, Kayaalp C. Isolated cecal necrosis mimicking acute appendicitis: A case series. J Med Case Rep 2009; 3: 7443. [CrossRef] CR - Karpuzi A, Galeski D, Elezi G, Goreski A, Karatashev Z. Partial caecal ne- crosis - a rare cause of right-sided inferior abdominal pain and tender- ness. Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2014; 35: 117-21. [CrossRef] CR - Hunter JP, Saratzis A, Zayyan K. Spontaneous, isolated caecal necrosis: Report of a case, review of the literature, and updated classification. Acta Chir Belg 2013; 113: 60-3. [CrossRef] CR - Simon AM, Birnbaum BA, Jacobs JE. Isolated infarction of the cecum: CT findings in two patients. Radiology 2000; 214: 513-6. [CrossRef] CR - Abel ME, Russell TR. Ischemic colitis. Comparison of surgical and non- operative management. Dis Colon Rectum 1983; 26: 113-5. [CrossRef] CR - Gundes E, Kucukkartallar T, Çolak MH, Cakir M, Aksoy F. Ischemic ne- crosis of the cecum: a single center experience. Korean J Gastroenterol 2013; 61: 265-9. [CrossRef] CR - Çakar E, Ersöz F, Bag M, Bayrak S, Çolak Ş, Bektaş H, et al. Isolated ce- cal necrosis: our surgical experience and a review of the literature. Ulus Cerrahi Derg 2014; 30: 214-8. UR - http://dergipark.org.tr/tr/pub/jemcr/issue//536600 L1 - http://dergipark.org.tr/tr/download/article-file/665022 ER -