Single-incision laparoscopic ileocolectomy for solitary cecal colon diverticulitis with calcified fecalith: a case report

Abstract

The prevalence of colonic diverticular disease has been on the increase in Japan due to an increase in westernized diet and a rapidly aging population. However, solitary cecal diverticulum is rare and considered congenital in etiology. Solitary cecal diverticulitis with calcified fecaliths is even rarer. Herein, we report a case of cecal colon diverticulitis caused by a calcified fecalith in a 38-year-old woman treated with single-incision laparoscopic surgery. To the best of our knowledge, this report describes the first case of cecal colon diverticulitis caused by a calcified fecalith that was successfully treated with single-incision laparoscopic ileocolectomy.

Brief Explanation About Diverticular Disease

“…The epidemiology of diverticular disease has been the subject of evolving insights, with increasing hospital admissions for complications of diverticular disease, particularly in the elderly and emergency admissions [16]. Moreover, the prevalence of colonic diverticula has been increasing in recent years, leading to an increase in opportunities to treat patients with colonic diverticular disease, including diverticular bleeding and diverticulitis [17]. In terms of the pathology of diverticular disease, it is considered to be a chronic illness, and recent literature addresses the emerging insights regarding its pathophysiology and management, providing current answers to common clinical questions [9].…”