Necrotizing solitary cecal diverticulitis
Abstract
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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