Necrotizing solitary cecal diverticulitis

  • Zrinka Sudar Magas
  • Sasa Magas
  • Branko Fila
Keywords: acute abdomen, necrotizing cecal diverticulitis, diverticulectomy


Necrotizing cecal diverticulitis is an extremely rare condition. Its clinical presentation involves pain in the right lower abdominal quadrant, it is similar to acute appendicitis and should be treated surgically. We present a case of a 40-year-old male with clinical presentation of pain in the right lower abdominal quadrant, high inflammatory parameters and collection of liquid content ileocecally visible by ultrasound, with nonsymptomatic appendix. Intraoperatively, secondary inflammation of the appendix was found along with necrotic cecum. Following ex tempore pathohistological diagnosis, which excluded the possibility of malignancy, diverticulectomy and appendectomy were performed. Subsequent pathohistological diagnosis verified necrotizing cecal diverticulitis. Follow up included ultrasound and endoscopic check ups resulting in an uneventful postoperative course.


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Yildar M, Ozkan OF, Caglayan K, et al. An unusual cause of right lower quadrant pain: the caecum diverticulitis. Case Rep Surg 2012;2012:789397.

Paramythiotis D, Papadopoulos VN, Michalopoulos A, et al. Inflammation of solitary caecal diverticula: a rare aetiology of acute abdominal pain. Tech Coloproctol 2011;15 Suppl 1: S43−45.

Radhi JM, Ramsay JA, Boutross-Tadross O. Diverticular disease of the right colon. BMC Res Notes 2011;4: 383.

Cole M, Ayantunde AA, Payne J. Caecal diverticulitis presenting as acute appendicitis: a case report. World J Emerg Surg 2009;4: 29.

Uwechue RU, Richards ER, Kurer M. Stapled diverticulectomy for solitary caecal diverticulitis. Ann R Coll Surg Engl 2012;94(8):235−236.

Chou YH, Chiou HJ, Tiu CM, et al. Sonography of acute right sided colonic diverticulitis. Am J Surg 2001;181(2): 122−127.

Jhaveri KS, Harisinghani MG, Wittenberg J, et al. Right-sided colonic diverticulitis: CT findings. J Comput Assist Tomogr 2002;26(1): 84−89.

Altun H, Mantoglu B, Okuducu M, et al. Therapy of solitary cecal diverticulitis in a young patient with laparoscopic right hemicolectomy. Surg Laparosc Endosc Percutan Techn 2011;21(4):176−178.

Fang JF, Chen RJ, Lin BC, Hsu YB, Kao JL, Chen MF. Aggressive resection is indicated for cecal diverticulitis. J Surg 2003;185(2):135−140.

Telem DA, Buch KE, Nguyen SQ, Chin EH, Weber KJ, Divino CM. Current recommendations on diagnosis and management of rightsided diverticulitis. Gastroenterol Res Pract 2009;2009: 359485.

How to Cite
Sudar Magas Z, Magas S, Fila B. Necrotizing solitary cecal diverticulitis. Acta Chir. Croat. [Internet]. 2015Jul.15 [cited 2020Aug.6];12(1):47-9. Available from:
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