Isolated cecal necrosis mimicking acute appendicitis: A case series

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dc.authorscopusid24780735400
dc.authorscopusid15065888400
dc.authorscopusid35721500900
dc.authorscopusid35723098500
dc.authorscopusid7005427401
dc.authorscopusid35565697700
dc.contributor.authorDirican A.
dc.contributor.authorUnal B.
dc.contributor.authorBassulu N.
dc.contributor.authorTatl F.
dc.contributor.authorAydin C.
dc.contributor.authorKayaalp C.
dc.date.accessioned2024-08-04T20:02:34Z
dc.date.available2024-08-04T20:02:34Z
dc.date.issued2009
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction. Spontaneous non-occlusive ischemic colitis involving the cecum alone (isolated cecal necrosis) is a rare condition that is generally due to a low-flow state: shock. It presents with right lower quadrant abdominal pain and may resemble acute appendicitis. Little is known about postoperative ischemic necrosis of the remaining colon after surgical treatment of isolated cecal necrosis. We report four cases of isolated cecal necrosis mimicking acute appendicitis seen at our institution within a 4-year period. Case presentation. The patients were two men and two women with a mean age at diagnosis of 59 years (range 46-68). The patients were of Turkish ethnic origin. All patients presented to the emergency room with acute abdominal pain and had symptoms of nausea and vomiting. The medical histories for three of the patients revealed end-stage renal failure requiring hemodialysis. The other patient had chronic obstructive pulmonary disease. Right hemicolectomy with anastomosis was performed in three patients and cecal resection with ileocolostomy was performed in the remaining one patient. All of the patients healed without complications. Median follow-up of patients was 24.5 (range: 17-37) months. There was no recurrence of ischemia in the remaining colon during the follow-up period of the patients. Conclusion. Isolated cecal infarction should be included in the differential diagnosis of acute pain in the right lower quadrant of the abdomen, especially in those patients on chronic hemodialysis. While diffuse ischemic disease of the intestine has high morbidity, mortality and recurrence rates, patients with isolated cecal necrosis have a good prognosis with early diagnosis and surgical treatment compared to those with diffuse ischemic disease. © 2009 licensee BioMed Central Ltd.en_US
dc.identifier.doi10.4076/1752-1947-3-7443
dc.identifier.issn1752-1947
dc.identifier.scopus2-s2.0-72449195254en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.4076/1752-1947-3-7443
dc.identifier.urihttps://hdl.handle.net/11616/91796
dc.identifier.volume3en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Medical Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectabdominal painen_US
dc.subjectabdominal radiographyen_US
dc.subjectacute appendicitisen_US
dc.subjectadulten_US
dc.subjectageden_US
dc.subjectanamnesisen_US
dc.subjectarticleen_US
dc.subjectcase reporten_US
dc.subjectchronic obstructive lung diseaseen_US
dc.subjectcolostomyen_US
dc.subjectcomputer assisted tomographyen_US
dc.subjectdifferential diagnosisen_US
dc.subjectearly diagnosisen_US
dc.subjectearly interventionen_US
dc.subjectechographyen_US
dc.subjectemergency warden_US
dc.subjectfemaleen_US
dc.subjectfollow upen_US
dc.subjecthemicolectomyen_US
dc.subjecthemodialysisen_US
dc.subjecthumanen_US
dc.subjectintestine necrosisen_US
dc.subjectintestine resectionen_US
dc.subjectkidney failureen_US
dc.subjectlaparoscopyen_US
dc.subjectlaparotomyen_US
dc.subjectmaleen_US
dc.subjectmorbidityen_US
dc.subjectmortalityen_US
dc.subjectnausea and vomitingen_US
dc.subjectpostoperative complicationen_US
dc.subjectpriority journalen_US
dc.subjectprognosisen_US
dc.subjectrecurrence risken_US
dc.subjecttreatment outcomeen_US
dc.subjectTurkey (republic)en_US
dc.titleIsolated cecal necrosis mimicking acute appendicitis: A case seriesen_US
dc.typeArticleen_US

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