An Unusual Cause of Right Lower Quadrant Pain: The Caecum Diverticulitis

Abstract

Purpose. In the study presented, preoperative examinations and surgical methods were discussed along with literature, regarding two cases who were operated with the prediagnosis of acute appendicitis and for whom caecum diverticulitis was determined. Case 1. 21 years old male patient who had applied to hospital with complaint of abdominal pain, underwent an operation with a prediagnosis of acute appendicitis. Right hemicolectomy was performed with mass perioperatively determined in caecum. Histopathological examination revealed necrosis and inflammation in diverticulum wall. Case 2. 36 years old female patient applied to emergency department with abdominal pain and underwent an operation with a prediagnosis of acute appendicitis. Appendectomy and diverticulectomy were performed for whom inflame diverticula in caecum was determined perioperatively. Histopathological examination was revealed acute inflammation in diverticulum wall. Conclusion. Although solitary caecum diverticulitis is a rarely encountered disease, it must be considered in the differential diagnosis of right lower abdomen pain.

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

“…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 ).…”

An Unusual Case of Right Lower Quadrant Pain: A Case Report

“…2 It is estimated that 1 in 300 cases with a preoperative diagnosis of "acute appendicitis" were in fact "cecal diverticulitis." 3 of the two entities. Some authors discuss a less toxic appearance or a longer duration of symptoms for people with cecal diverticulitis, but there is no clear consensus.…”

“…Cecal diverticulosis represents only 1–2% of diverticular disease in North America with the prevalence much more common in Western countries. 2 It is estimated that 1 in 300 cases with a preoperative diagnosis of “acute appendicitis” were in fact “cecal diverticulitis.” 3 A review of the literature shows no definitive distinctive features between the diagnosis of the two entities. Some authors discuss a less toxic appearance or a longer duration of symptoms for people with cecal diverticulitis, but there is no clear consensus.…”