Cecal Diverticulitis: A Diagnosis to Keep in Mind When Evaluating Acute Appendicitis


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Bolukbasi H.

Journal of the College of Physicians and Surgeons Pakistan, cilt.32, sa.8, ss.1067-1069, 2022 (SCI-Expanded, Scopus)

Özet

Cecal diverticulitis is a rare cause of right lower-quadrant abdominal pain. As its symptoms mimic those of acute appendicitis, the final diagnosis in the patients is generally confirmed after surgery. Herein, we report a 45-year man who was admitted to the department of emergency with lower right abdominal pain. Cecal diverticulitis was diagnosed on computed tomography (CT) images, and a conservative treatment approach was recommended. He was hospitalised, and intravenous antibiotics and hydration were administered immediately. Oral feeding was interrupted. After five days of intensive medical care, the patient was discharged without any further complications. Based on my experience, I advise that CT can be used to differentiate cecal diverticulitis from the acute appendicitis. In uncomplicated cases, conservative approaches are advised.