Inflammation of solitary caecal diverticula: a rare aetiology of acute abdominal pain: an experimental study

Abstract

Caecal diverticula are rare, representing the 3.6% of colonic diverticula. They may have congenital origin and remain asymptomatic, presenting as an accidental finding. We present a case of a 42-year-old Caucasian woman, admitted with a 12-h history of sudden onset of sharp right iliac fossa pain, anorexia, and nausea. There was leukocytosis (23.49 × 10(3)/μl) and increased C-reactive protein (11.76 mg/dl). CT scan showed an inflamed appendix. At laparotomy, a diffuse caecal phlegmon with an inflammatory solitary caecal diverticula was found. A limited right hemicolectomy was performed. Histological examination confirmed the caecal diverticulitis without malignancy. Post-operative period was uneventful. Three months later, endoscopy showed no diverticula or other pathologies. Solitary caecal diverticulum is very rare, but surgeons must bear this in mind in case of pain in right iliac fossa.

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 ).…”

Solitary Cecal Diverticulitis: An Unusual Cause of Acute Right Iliac Fossa Pain—A Case Report and Review of the Literature

“…Other surgical treatment methods like the ileocecal resection have less surgical time than right hemicolectomy but cannot guarantee appropriate therapy in case of malignancy [ 4 ]. In the event of preoperative diagnostic uncertainty, a limited right hemicolectomy is the ideal therapy, especially in cases of extensive inflammation or when suspicious malignancy and granulomatous diseases cannot be ruled out [ 20 , 27 ]. Particularly, in case of inflammatory mass, diverticular resection seems impossible and right hemicolectomy is suggested [ 15 , 24 , 31 ].…”