Uncommon Caecum Diverticulitis Mimicking Acute Appendicitis

Yılmaz, Özkan; Kızıltan, Remzi; Bayrak, Vedat; Çelik, Sebahattin; Çallı, İskan

doi:10.1155/2016/5427980

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…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 ).…”

Section: Resultsmentioning

confidence: 99%

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Uhe¹,

Meyer

Viviano

et al. 2021

Colorectal Disease

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Aim Caecal diverticulitis (CD) is an uncommon condition which can be misdiagnosed as acute appendicitis due to similar clinical presentations. Further, its management varies among medical centres. The aim of this study was to review cases of patients with CD, to identify the factors differentiating CD from acute appendicitis and to provide a summary of existing diagnostic methods and therapeutic alternatives regarding its management. Methods This systematic review was conducted in accordance with the PRISMA guidelines and the AMSTAR2 checklist. We searched MEDLINE and Embase from inception until 1 October 2018 for original publications reporting cases of CD. Results Out of the 560 identified studies, 146 publications (988 patients) were included in the qualitative synthesis. Most frequent symptoms of CD were right iliac fossa pain (93.2%), nausea and/or vomiting (35.4%) and fever (26.9%). A total of 443 patients (44.8%) underwent radiological imaging, which reported CD in 225 patients (22.8%). For the other patients, the diagnosis was obtained by surgical exploration (73.9%). Among patients diagnosed with CD by imaging, 67 (29.8%) underwent surgery and 158 (70.2%) were treated conservatively. Among patients who underwent surgical exploration, treatment consisted most frequently of right hemi‐colectomy (33%), appendectomy (18.8%) and diverticulectomy with appendectomy (16.3%). Conclusion CD can be misdiagnosed as acute appendicitis, therefore resulting in unnecessary surgical exploration. The review of the literature starting from 1930 highlights the critical role of medical imaging in supporting the clinician to diagnose this condition and administer adequate treatment.

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Section: Resultsmentioning

confidence: 99%

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Uhe¹,

Meyer

Viviano

et al. 2021

Colorectal Disease

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“…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.…”

Section: Discussionmentioning

confidence: 99%

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

Kaushal-Deep¹,

Anees²,

Khan³

et al. 2018

Int J Crit Illn Inj Sci

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“…Right colonic and cecal diverticulitis can mimic acute appendicitis. [3][4][5][6][7] Uncomplicated right colonic diverticulitis can be managed with antibiotic therapy and bowel rest. Computed tomography (CT) or magnetic resonance imaging can help to diagnose complicated diverticuli, [8,9] but the final diagnosis is generally made during surgery.…”

Section: Discussionmentioning

confidence: 99%

Solitary Cecal Diverticulitis Mimicking Acute Appendicitis in A Child: Intraoperative Diagnosis

Çil

Gümüş

2018

Sisli Etfal

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Right colonic and cecal diverticulitis can mimic acute appendicitis. A 14-year-old, 105-kg boy presented at the emergency department with symptoms mimicking acute appendicitis. Surgery revealed a case of perforated solitary cecal diverticulitis. Diverticulosis is a disease known to be common in adulthood, but the incidence is increasing in childhood. Therefore, emergency room residents and pediatric surgeons need to keep this diagnosis in mind in the differential diagnosis of acute appendicitis. Early clarification of the etiology will enable the planning of the best treatment strategy.

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Uncommon Caecum Diverticulitis Mimicking Acute Appendicitis

Cited by 5 publications

References 12 publications

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature

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

Solitary Cecal Diverticulitis Mimicking Acute Appendicitis in A Child: Intraoperative Diagnosis

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