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Acute inflammation of a congenital cecal diverticulum mimicking appendicitis

Ewen A. Griffiths, Fintan G. Bergin, James A. Henry, Ahmed M. Mudawi

Med Sci Monit 2003; 9(12): CS107-109

ID: 13440

Background:Cecal diverticulitis is a relatively rare problem in the Western world. It is often clinically indistinguishable from acute appendicitis.Case Report:We present a case of a young woman who was suspected to have acute appendicitis prior to operation. At operation an unexpected and suspicious cecal mass was found and the procedure was revised to a right hemicolectomy. Subsequent histological examination revealed an acutely inflamed solitary, congenital diverticulum of the cecum.Conclusions:We would like to highlight this uncommon condition to ensure that its first encounter is not in the operating theatre. The varied and controversial management options are briefly discussed.

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