Acute solitary ulcer and diverticulitis of the cæcum

Parker, R. A.; Serjeant, J. C. B.

doi:10.1002/bjs.18004518905

Cited by 25 publications

(6 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…5. Caecal Diverticulitis.-It has been suggested that a simple ulcer represents either inflammation developing in a diverticulum, with destruction of its wall making the diverticulum unrecognizable (Fox, 1948)~ or conversely that the simple ulcer is first formed and weakens the caecal wall so that a false diverticulum is formed (Fairbank and Rob, Most authorities regard diverticulum of the caecum as congenital in origin (Parker and Sergeant, 1957). This is supported by the observation in certain of our cases (Cases 3-7) that, although the inflammatory process had destroyed the mucosa and the muscularis mucosae, the muscle-coats of the caecum seemed to be intact if somewhat attenuated.…”

Section: Aetiology Of Solitarymentioning

confidence: 99%

Solitary ulcers and diverticulitis of the caecum

Anscombe

Keddie

Schofield

1967

Journal of British Surgery

View full text Add to dashboard Cite

show abstract

Section: Aetiology Of Solitarymentioning

confidence: 99%

Solitary ulcers and diverticulitis of the caecum

Anscombe

Keddie

Schofield

1967

Journal of British Surgery

View full text Add to dashboard Cite

show abstract

“…The information about the origin could not be identified for two articles [13,14]. Eighty articles (80/146, 54.8%) were published before 1980 [12–91] and 66 (66/146, 45.2%) after 1980 [2–4,7,9,11,92–151] (Figure 2, Appendix ).…”

Section: Resultsmentioning

confidence: 99%

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Uhe¹,

Meyer

Viviano

et al. 2021

Colorectal Disease

View full text Add to dashboard Cite

Aim Caecal diverticulitis (CD) is an uncommon condition which can be misdiagnosed as acute appendicitis due to similar clinical presentations. Further, its management varies among medical centres. The aim of this study was to review cases of patients with CD, to identify the factors differentiating CD from acute appendicitis and to provide a summary of existing diagnostic methods and therapeutic alternatives regarding its management. Methods This systematic review was conducted in accordance with the PRISMA guidelines and the AMSTAR2 checklist. We searched MEDLINE and Embase from inception until 1 October 2018 for original publications reporting cases of CD. Results Out of the 560 identified studies, 146 publications (988 patients) were included in the qualitative synthesis. Most frequent symptoms of CD were right iliac fossa pain (93.2%), nausea and/or vomiting (35.4%) and fever (26.9%). A total of 443 patients (44.8%) underwent radiological imaging, which reported CD in 225 patients (22.8%). For the other patients, the diagnosis was obtained by surgical exploration (73.9%). Among patients diagnosed with CD by imaging, 67 (29.8%) underwent surgery and 158 (70.2%) were treated conservatively. Among patients who underwent surgical exploration, treatment consisted most frequently of right hemi‐colectomy (33%), appendectomy (18.8%) and diverticulectomy with appendectomy (16.3%). Conclusion CD can be misdiagnosed as acute appendicitis, therefore resulting in unnecessary surgical exploration. The review of the literature starting from 1930 highlights the critical role of medical imaging in supporting the clinician to diagnose this condition and administer adequate treatment.

show abstract

“…It was most likely a consequence of regional inflammation. Two authors performed similar surgery in cases of the SCU with the clinical findings of appendicitis or perforation [12,13]. In the earlier period, surgical treatment of this entity was insisted on [14], while in recent times, conservative treatment has been favored, except in cases of perforation, uncontrolled bleeding, or acute abdomen [4,15].…”

Section: Discussionmentioning

confidence: 99%

Solitary cecal ulcer - case report and treatment options according to literature review

Kunkin¹,

Ognjenovic²

2022

Srp Arh Celok Lek

View full text Add to dashboard Cite

Introduction. Solitary cecal ulcer is a benign and extremely rare disease, as less than 300 cases have been reported so far. The etiology is unknown, and it can be diagnosed by pathohistological examination. Often presented as an acute abdomen and rectal bleeding, it can mock various important and urgent conditions. Treatment protocol is not defined. Extensive and radical surgeries are often performed due to this benign disease mimic. Our aim was to indicate this disease, present the treatment of this rare condition, and to facilitate the treatment plan for this disease. Case outline. Female, aged 67, was admitted to the Emergency Department with a clinical manifestation of acute appendicitis. Emergency surgery was indicated after following diagnostic tests. The intraoperative finding revealed an ulcer on the cecum, which was sutured. The patient fully recovered, and subsequent colonoscopy and pathohistological findings indicated a solitary ulcer. Conclusion. It is possible to treat this condition by retaining the organ and avoiding major surgery. Therefore, it is our opinion that it might provide significant assistance to clinicians in a similar situation. Hence, it is undoubtedly an interesting case for archiving, especially since such a case has not been recorded in our country yet.

show abstract

Acute solitary ulcer and diverticulitis of the cæcum

Cited by 25 publications

References 11 publications

Solitary ulcers and diverticulitis of the caecum

Solitary ulcers and diverticulitis of the caecum

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Solitary cecal ulcer - case report and treatment options according to literature review

Contact Info

Product

Resources

About