An uncommon acute abdomen cause mimicking acute appendicitis: Caecal Diverticulitis, a case report

Yıl 2012, Cilt: 2 Sayı: 4, 190 - 192, 01.12.2012

Tufan Elipek

https://doi.org/10.5505/sakaryamj.2012.52714

Öz

Solitary caecal diverticulitis is an uncommon clinical situation. Its diagnosis is difficult expect surgical assessment. It appears to have the similar manner of acute appendicitis, generally. The case in this study is a patient has operated for prediagnosis of acute appendicitis because of the having right iliac fossa pain, nausea and vomiting which are common symptoms of acute appendicitis, but in her exploration it was determined to have caecal mass.

Anahtar Kelimeler

Caecal diverticulitis, acute appendicitis; right-sided colonic diverticulitis

Akut apandisiti taklit eden yaygın olmayan bir akut karın nedeni: Çekal divertikülit, bir olgu sunumu

Öz

Soliter çekal divertikülit yaygın olmayan bir klinik durumdur. Cerrahi müdahale dışında tanısı zordur. Genellikle akut apandisit benzeri bulgularla ortaya çıkar. Bu çalışmadaki olgu, karın sağ alt kadran ağrısı, bulantı ve kusma nedeniyle acil servisimize başvuran, akut apandisit ön tanısı acil şartlarda opere edilen, ancak eksplorasyonda çekal kitle saptanan bir hastadır.

Anahtar Kelimeler

Çekal divertikülit, akut apandisit; sağ kolon divertiküliti

Kaynakça

• Karatepe O, Gulcicek OB, Adas G, Battal M, Ozdenkaya Y, Kur- tulus I, et al. Caecal diverticulitis mimicking acute Appendicitis: a report of 4 cases. World J Emerg Surg 2008;3:16.
• Cole M, Ayantunde AA, Payne J. Caecal diverticulitis present- ing as acute appendicitis: a case report. World J Emerg Surg 2009;4:29.
• Poon RT, Chu KW. Inflammatory caecal masses in patients pre- senting with appendicitis. World J Surg 1999;23(7):713–716.
• Lane JS, Sarkar R, Schmit PJ, Chandler CF, Thompson JE Jr. Surgical approach to caecal diverticulitis. J Am Coll Surg 1999;188(6):629–634.
• Connolly D, McGookin RR, Gidwani A, Brown MG. Inflamed soli- tary caecal diverticulum – it is not appendicitis, what should I do? Ann R Coll Surg Engl 2006;88(7):672–674.
• Sardi A, Gokli A, Singer JA. Diverticular disease of the caecum and ascending colon. A review of 881 cases. Am Surg 1987;53(1):41– 45.
• Jang HJ, Lim HK, Lee SJ, Lee WJ, Kim EY, Kim SH. Acute di- verticulitis of the caecum and ascending colon: the value of thin- section helical CT findings in excluding colonic carcinoma. AJR Am J Roentgenol 2000;174(5):1397–1402.
• Chou YH, Chiou HJ, Tiu CM, Chen JD, Hsu CC, Lee CH, et al. Sonography of acute right side colonic diverticulitis. Am J Surg 2001;181(2):122–127.
• Cobben LP, Groot I, Blickman JG, Puylaert JB. Right colonic diver- ticulitis: MR appearance. Abdom Imaging 2003;28(6):794–798.
• Pelosi MA 3rd, Pelosi MA, Villalona E. Right-sided colonic divertic- ulitis mimicking acute cholecystitis in pregnancy: case report and laparoscopic treatment. Surg Laparosc Endosc 1999;9(1):63–67.