Giant Cecal Diverticulum in a Child

Abstract

A 12-year-old girl with abdominal pain and fever underwent urgent surgery. As was suspected 15 on computed tomographic scan, a large diverticular mass adherent to the cecum was identified. A 16 diverticulectomy was performed. We report this rare case of a giant cecal diverticulum and provide an 17 overview of known literature. Acute abdominal pain is a very common reason for 21 consulting a pediatric surgical emergency care unit. 22However, the diagnostics and treatment can be challenging. Because of the clinical presentation and inconclusive 56 imaging, the patient was taken to the operating theater. 57Laparoscopy was converted to an infraumbilical median 58 laparotomy because of visualization of ischemic bowel. We 59 discovered a giant diverticulum originating from the 60 antimesenteric cecal wall (Fig. 3). This mobile thin-walled 61 structure of 116 g measured 30 cm in length and 7 cm in 62 diameter at its broadest point. At its base, there was a 3-fold ☆ The authors have nothing to disclose. ⁎ Corresponding author. Tel.: +32(0)9/224 64 21; fax: +32(0)9/224 64 11.

A giant caecal diverticulum presenting as an acute abdominal emergency

“…Detorsion was done and diverticulectomy performed. Ramu et al, (2015) reported a case of a 11-yearold girl with an acute abdomen (7). A 15 cm long, 5 cm diameter caecal diverticulum attached to the lateral and inferior aspect of the caecum was discovered with a faecolith.…”