A rare cause of acute abdomen: Isolated necrosis of the cecum
Kemal Eyvaz1
, Hasan Ediz Sıkar2, Mehmet Gökçeimam2, Hasan Fehmi Küçük2, Necmi Kurt2
1Department of General Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
2Department of General Surgery, University of Health Sciences, Kartal Training and Research Hospital, İstanbul, Turkey
Abstract
Objective: We aimed to present a 76-year-old female patient with cecal necrosis, which is a rare cause of acute abdomen in elderly women and a variant of ischemic colitis.
Methods: The patient was admitted to hospital with abdominal pain, anorexia and nausea. Physical examination, laboratory parameters and abdominal computed tomography revealed acute abdomen. We operated the patient with below umbilical midline incision. Although the pain localized to the right lower quadrant made us consider acute appendicitis as first diagnosis, other pathologies were also kept in mind for differential diagnosis.
Findings: Non-occlusive cecal necrosis was determined, and terminal ileum and cecum resection and Meckel’s diverticulum excision were performed. Arterial pulsation was palpated, and no sign of thrombus was found.
Conclusion: Isolated necrosis of the cecum may be due to multiple reasons. Especially in elderly female patients with predisposing factors like hypotension, sepsis, shock, drug use, vasculitis, and hypercoagulability, cecum necrosis should be kept in mind.
Keywords: isolated necrosis of the cecum, acute abdomen, ischemic colitis
Cite this paper as: Eyvaz K, Sıkar HE, Gökçeimam M, Küçük HF, Kurt N. A rare cause of acute abdomen: Isolated necrosis of the cecum. Turk J Surg 2018; 10.5152/turkjsurg.2018.1334.
Written informed consent was obtained from patient who participated in this study.
Externally peer-reviewed.
Concept - K.E., N.K.; Design - K.E., N.K., H.E.S., M.G.; Supervision - K.E., N.K., H.E.S.; Materials - K.E., N.K., H.E.S.; Data Collection and/or Processing - K.E., H.F.K., H.E.S., M.G.; Analysis and/or Interpretation - K.E., H.F.K., M.G.; Literature Search - H.E.S., K.E., M.G.; Writing Manuscript - K.E., N.K., H.E.S., H.F.K.; Critical Reviews - K.E., N.K., H.F.K.
The authors have no conflicts of interest to declare
The authors declared that this study has received no financial support.