Isolated cecal necrosis: Report of two cases

Kardoun, Nizar; Hadrich, Zied; Daoud, Rahma; Harbi, Houssem; Boujelben, Salah

doi:10.1002/ccr3.4552

Cited by 1 publication

(2 citation statements)

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“…The presenting features of ICN include right lower-quadrant pain, guarding, vomiting, leukocytosis, lactic acidosis, and an elevated C-reactive protein. 5 , 8 This constellation of symptoms and common findings on imaging can lead to misdiagnosis of ICN as appendicitis, malignancy, or diverticulitis. 9 Although ICN can present with acute abdomen, a lack of peritonitis on examination does not rule out ICN as the diagnosis, which is exemplified by our case.…”

Section: Discussionmentioning

confidence: 99%

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Isolated Cecal Necrosis Mimicking a Colonic Mass

et al. 2023

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Isolated cecal necrosis (ICN) is a rare form of ischemic colitis that can mimic conditions such as appendicitis, malignancy, or diverticulitis. Most cases of ICN have been identified in patients with significant comorbidities that increase risk of vascular disease. We present a case of ICN mimicking a mass lesion in an elderly patient with few comorbid conditions. Although computed tomography was concerning for colonic mass, diagnostic colonoscopy revealed ischemic colon. The patient underwent right hemicolectomy, and pathology confirmed ICN. It is important to recognize conditions ICN can mimic, understand ICN can present without acute abdomen, and consider ICN in the differential diagnosis even in relatively healthy patients without a history of vascular disease.

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Section: Discussionmentioning

confidence: 99%

“… 10 It is important to promptly recognize ICN as a cause of right lower-quadrant pain because delayed treatment with surgical intervention is known to increase mortality. 8 …”

Section: Discussionmentioning

confidence: 99%