Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound

Typhoid Caecal Perforation in a Two-Year Old Child: A Case Report

“…Mallory cells are pathognomonic of typhoid perforations (4) and were seen in the histology of the right hemicolectomy specimen of the patient presented. These cells are histiocytes which have phagocytosed lymphocytes, typhoid bacilli and red blood cells (3,5).…”

“…The anti-mesenteric border of the ileum is the usual site of perforation, within 40 cm of the ileo-caecal junction (1), but it has been reported to occur up to 80 cm from the ileo-caecal junction, in the appendix, caecum or colon (2). When it occurs in the caecum, the clinical and radiological features are indiscernible from an ileal perforation (2,3). The diagnosis is usually made intra-operatively.…”

Primary cecal pathologies presenting as acute abdomen and critical appraisal of their current management strategies in emergency settings with review of literature

“…These potentially incriminating pathologies that can present as acute cecal pathology have been tabulated in Table 2 . [ 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 ] But only some of these conditions are commonly encountered in the clinical practice, and they deserve special attention owing to their dismal outcome. It may be noted that in most of the above-mentioned causes of acute primary cecal pathology, patients were initially suspected to be having acute appendicitis or appendicular perforation and the cecal pathology was appreciated only intra-operatively or on post-operative HPE reporting.…”