Infiltrating caecal carcinoma versus appendicitis with caecal phlegmon—can computer tomography differentiate them?

To, Henry; Stella, Damien; Chandra, Raaj

doi:10.1093/jscr/rjx006

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…There are some CT features that can help in the differentiation of benign from malignant causes, where there is a focal asymmetric and eccentric bowel wall thickening (with less than 5cm). It can also be detected homogeneous contrast enhancement due to infiltration of a tumor mass, or a heterogeneous area of low attenuation from ischemia and necrosis (14). Magnetic Resonance (MRI) has been demonstrated to be a useful tool on pregnant and young patients (4).…”

Section: Discussion Discussionmentioning

confidence: 99%

Lesson from a Cecal Phlegmon: From an Acute Appendicitis to a Solitary Cecal Diverticulitis

Gonçalves¹,

Pinto²,

Pereira³

et al. 2021

SGO

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A cecal phlegmon can be a difficult situation for a surgeon, since the treatment strategy must be decided with uncertainty of the phlegmon's origin: benign or malignant. The most common causes are cecal diverticulitis, acute appendicitis and cecal carcinoma. More rarely, it can be caused by a appendicular diverticulitis (1). In this case, we present a case of a cecal diverticulum, which is a rare but benign medical condition, in a 52-year-old man who presented to the emergency department with a 3-day constant abdominal pain in the right lower quadrant with rebound and with an increase of the inflammatory analytical levels. An abdominal ultrasound showed findings compatible with an acute appendicitis and the patient was proposed to a laparoscopic appendectomy. Intraoperatively, a cecal phlegmon was found and an ileocecal resection with primary anastomosis was conducted. Histopathological findings confirmed a rare solitary cecum diverticulitis.

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Section: Discussion Discussionmentioning

confidence: 99%

Lesson from a Cecal Phlegmon: From an Acute Appendicitis to a Solitary Cecal Diverticulitis

Gonçalves¹,

Pinto²,

Pereira³

et al. 2021

SGO

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A Trojan Horse Never to Be Missed in Elderly – An Intresting Case of Right Iliac Fossa Mass

Gunalan

Manuel

Phansalkar

et al. 2023

IJAR

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We report a case of an elderly patient presenting with the right iliac fossa mass. The provisional diagnosis included an inammatory appendicular mass or abdominal wall mass. Interestingly, initial non-contrast computed tomography (CT) of the abdomen and pelvis, lap parameters and colonoscopy guided biopsy demonstrated the inammatory changes. Follow up imaging by contrast CT threw light on a new path towards the neoplastic etiology. Even after the follow up imaging the subsequent colonoscopy guided biopsy showed features suspicious for malignancy whereas cystoscopy guided biopsy showed benign features. Intra-operatively bowel neoplasm with bladder invasion was seen and right hemicolectomy with partial cystectomy done. Post-operative specimen nally revealed mucinous adenocarcinoma of caecum with urinary the bladder invasion. In the presented case, non-contrast CT ndings and clinico-pathological reports suggestive of a benign etiology were misleading. This could have been prevented if the patient was subjected to contrast study in view of her elderly age. This case highlights the importance of imaging in patient management. Therefore, we feel that it is important to share our experience of the successful management of the presented case.

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Infiltrating caecal carcinoma versus appendicitis with caecal phlegmon—can computer tomography differentiate them?

Cited by 2 publications

References 6 publications

Lesson from a Cecal Phlegmon: From an Acute Appendicitis to a Solitary Cecal Diverticulitis

Lesson from a Cecal Phlegmon: From an Acute Appendicitis to a Solitary Cecal Diverticulitis

A Trojan Horse Never to Be Missed in Elderly – An Intresting Case of Right Iliac Fossa Mass

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