Ischemic Necrosis of the Cecum: A Single Center Experience

Gündeş, Ebubekir; Küçükkartallar, Tevfik; Çolak, Muzaffer Haldun; Çakır, Murat; Aksoy, Faruk

doi:10.4166/kjg.2013.61.5.265

Cited by 13 publications

(24 citation statements)

References 10 publications

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“…Ischemic colitis, especially left colon, is the most common form of gastrointestinal ischemia [2]. Therefore, ischemic colitis involving the right colon is an infrequent occurrence while ischemic colitis involving only the cecum is extremely rare, as shown by Scharff et al [8].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Vasculitis Patched Necrosis of Cecum due to Behçet’s Disease

Shahverdi

Morshedi

Oraei-Abbasian

et al. 2017

Case Reports in Surgery

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Isolated cecal necrosis is a rare form of acute ischemic colitis and a rare cause of surgical abdomen. Behçet's disease is a multisystemic autoimmune condition which can induce vasculitis. This can result in cecal necrosis while disease involves colon vessels. We describe a patient with complicated Behçet's disease and ischemic colitis admitted to our hospital. Patient was a 62-year-old female with more accompanying diseases. Histopathologic findings confirmed the diagnosis of ischemic colitis and regarding patient's vision problem and skin lesions, rheumatologic tests were performed which were positive for HLAB5 and HLAB51 suggestive of Behçet's disease; the patient was improved with surgery. Abdominal pain can indicate a disease with vascular involvement like Behçet's disease, especially in the presence of other clinical findings suggestive of the disease including blurred vision and skin lesions. An abdominal computerized tomography (CT) scan is very diagnostic in the same patients.

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Section: Discussionmentioning

confidence: 99%

“…It mostly develops in relation to atherosclerosis and low blood flow of colon arteries [2]. Isolated cecal necrosis is a rare form of acute colonic ischemia and a rare cause of surgical abdomen [3].…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Vasculitis Patched Necrosis of Cecum due to Behçet’s Disease

Shahverdi

Morshedi

Oraei-Abbasian

et al. 2017

Case Reports in Surgery

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“…In 26% of cases, histopathology showed nonspecific changes, and the patients were asymptomatic on follow up without any treatment . The various causes of ICT are listed in Table …”

Section: Causes Of Ictmentioning

confidence: 99%

“…It usually presents with abdominal pain, diarrhea, and bleeding per rectum. Ischemic colitis should always be considered whenever any patient with predisposing factors presents with acute right iliac fossa pain …”

Section: Clinical Evaluationmentioning

confidence: 99%

Ileocecal thickening: Clinical approach to a common problem

et al. 2019

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Ileocecal thickening (ICT) is a common finding on radiological imaging. It can be caused by a variety of inflammatory, infectious, or neoplastic conditions, and evaluating a patient of ICT can be a challenging task. Intestinal tuberculosis (ITB), Crohn's disease (CD), and adenocarcinoma are the most common causes. Enteric bacterial infections, cytomegalovirus, histoplasmosis, amebiasis, systemic vasculitis, lymphoma, etc. should be suspected in appropriate clinical settings. However, it could often be a spurious or nonspecific finding. A thickness of more than 3 mm in a normally distended small bowel is usually considered abnormal. Detailed evaluation of imaging of the site and extent of thickening; the degree and pattern of thickening; and the associated findings, such as degree of fat stranding, fibrofatty proliferation, adjacent lymph nodes, and solid organ involvement, should be performed. Ileocolonoscopy is an important tool for diagnosing and obtaining samples for tissue diagnosis. Histopathology is usually the gold standard for diagnosis, although-not uncommonly-findings could be nonspecific, and reaching a definitive diagnosis is difficult. As such, a systematic approach with the integration of clinical, biochemical, radiological, endoscopic, histological, and other laboratory tests is the key to reaching a diagnosis. In this article, we review the causes of ICT and present a clinical approach for the management of ICT. Causes of ICTThe ileocecal area could be involved by a variety of conditions, including benign or malignant tumors, infections, inflammatory conditions, ischemia, etc. However, ICT can also be a spurious finding, without any underlying cause. In various studies on bowel wall thickening, a normal ileocolonoscopy has been found

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“…Acute colonic ischemia is usually seen in the elderly population as a result of atherosclerosis and low blood flow which can cause colitis and rectal bleeding. Acute nonocclusive ischemia of the colon manifested as isolated cecal necrosis is a rare condition which mostly occurs in patients with chronic renal failure or heart failure and 9% to 20% of deaths in hemodialysis dependent patients are attributable to nonocclusive mesenteric ischemia or bowel infarction (1)(2)(3) . Although there is not a consensus on gender and the age of the pati- ents under chronic dialysis presenting with nonocclusive mesenteric ischemia, Yaacov Ori et al (4) reported the mean age of the patients as 70.8±1.8 years, and the male:female ratio of 7:13 in these patients.…”

Section: Introductionmentioning

confidence: 99%

Isolated Cecal Necrosis In A Patient With Chronic Renal Failure

Kılınç¹,

Balci²,

Tuncer³

et al. 2019

TERH

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Nonocclusive acute colonic ischemia is frequently seen in elderly population due to low blood flow and clinically it is presented with right lower quadrant abdominal pain mimicking acute appendicitis. Physical examination; blood tests, radiologic examinations and endoscopic procedures are helpful on the way to diagnosis. Although many operative techniques have been reported, right hemicolectomy with anastomosis is the most prefered surgical procedure. A 58-year-old male who had appendectomy 4 months ago, presented with right lower quadrant abdominal pain and rectal bleeding. The patient with the diagnosis of chronic renal failure had been on hemodialysis program for three times a week for 5 years. Following physical examination, colonoscopy was performed and patient was diagnosed as cecal necrosis. Patient underwent emergent operation, and right hemicolectomy along with ileotransversostomy was performed On postoperative day 9, patient was discharged without development of any postoperative complications. Although isolated cecal necrosis is a rare condition this pathology should be kept in mind in patients with chronic heart disease, chronic renal failure on routine hemodialysis program.

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Ischemic Necrosis of the Cecum: A Single Center Experience

Cited by 13 publications

References 10 publications

A Rare Case of Vasculitis Patched Necrosis of Cecum due to Behçet’s Disease

A Rare Case of Vasculitis Patched Necrosis of Cecum due to Behçet’s Disease

Ileocecal thickening: Clinical approach to a common problem

Isolated Cecal Necrosis In A Patient With Chronic Renal Failure

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