Caecal diverticulitis, an uncommon mimic of appendicitis

Kroening, Helen Louise; Rai, Sajal

doi:10.1136/bcr-2012-007820

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…A previous study reports it is only made in 9% of the cases, and most of these patients have had previous appendectomy [14]. The definitive diagnosis of cecal diverticulitis is most commonly justified intra-operatively during exploration for suspected appendicitis [15]. We had already suspected acute appendicitis in our seven cases with no history of prior appendectomy based on the evaluation of nonspecific findings from the US together with the clinical findings and laboratory analysis, yet the definitive diagnosis was only established intraoperatively.…”

Section: Discussionmentioning

confidence: 74%

Cecal diverticulitis mimicking acute appendicitis: Management and short-term results of surgery

Öter¹

2018

Ann Clin Anal Med

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Aim: Cecal diverticulum is an infrequent cause of acute abdomen, and cecal diverticulitis usually presents in a behavior similar to acute appendicitis. This study aims to review our experience with surgical or nonsurgical management of cecal diverticulitis mimicking acute appendicitis in our department. Material and Method: From January 2012 to April 2017, fourteen patients were treated for cecal diverticulitis at our clinic. We retrospectively reviewed the patients' records, imaging modalities, and operative findings.Results: Nine men and five women with a mean age 43.93 ± 8.95 (range 32 to 65) years were evaluated.Total of nine (64.2%) patients were managed operatively. All patients were urgently operated. The mean hospital stay was 6.11 ± 1.61 days. In the postoperative period, two patients had wound infection, and postoperative mortality was not observed. Nonoperative management was used for the treatment in five (35.7%) patients who were preoperatively diagnosed with cecal diverticulitis, Hinchey stage I or II.Conclusion: Inflammation of the diverticulum of the cecum is an uncommon disease, but should be kept in mind in the differential diagnosis of pain in the right lower quadrant. Diagnostic laparoscopy can be used in patients and especially in women with atypical presentations of acute appendicitis. Preoperative diagnosis of cecal diverticulitis is very important in order to decide how to manage this condition.

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Section: Discussionmentioning

confidence: 74%

Cecal diverticulitis mimicking acute appendicitis: Management and short-term results of surgery

Öter¹

2018

Ann Clin Anal Med

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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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“…Similarly, another study by Lane et al reported that 40% of patients treated with diverticular excision or intravenous antibiotic therapy required later hemicolectomy because of the continuous inflammatory process [ 5 ]. Additionally, a laparoscopic approach of the cecal diverticulitis has been reported as a safe and effective therapeutic option [ 25 , 26 , 28 , 32 ]. However, the laparoscopic surgical treatment of uncomplicated cecal diverticulitis shows comparable results in the prevention of recurrence to conservative management with initial antibiotics [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

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

Mudatsakis

Nikolaou

Krithinakis

et al. 2014

Case Reports in Surgery

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Solitary cecal diverticulitis is a rare cause of acute abdominal pain in the Western world. Its clinical presentation, in most cases, mimics acute appendicitis. A 38-year-old Caucasian man presented with acute abdomen and clinical signs of acute appendicitis. Laparotomy was performed and revealed an inflammatory, solitary diverticulum of the cecum. A typical appendectomy was performed and a catheter was inserted for draining percutaneously the inflamed diverticulum of the cecum. The patient had an uneventful recovery and was discharged on the 4th postoperative day. This frequently misdiagnosed condition, in most cases, is being suspected and identified intraoperatively as acute appendicitis. The aim of this study is to review the available different surgical management options and to present an alternative therapeutic approach that may be valuable under specific circumstances.

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Caecal diverticulitis, an uncommon mimic of appendicitis

Cited by 6 publications

References 5 publications

Cecal diverticulitis mimicking acute appendicitis: Management and short-term results of surgery

Cecal diverticulitis mimicking acute appendicitis: Management and short-term results of surgery

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

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

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