Caecal diverticulitis presenting as acute appendicitis: a case report

التفاصيل البيبلوغرافية
العنوان: Caecal diverticulitis presenting as acute appendicitis: a case report
المؤلفون: Cole, Michelle, Ayantunde, Abraham A, Payne, John
بيانات النشر: BioMed Central Ltd.
سنة النشر: 2009
المجموعة: BioMed Central
الوصف: Solitary caecal diverticulum is an uncommon entity and therefore difficult to diagnose except at surgery. Caecal diverticulitis is an infrequent cause of acute abdomen and usually presents in a manner similar to acute appendicitis. It is extremely difficult to differentiate it preoperative from acute appendicitis and such distinction is usually made in the operating room. The optimal management of this clinical condition is still controversial, ranging from conservative treatment with antibiotics to aggressive surgical resections. We report a case of a 61 year old Caucasian who presented with acute onset right iliac fossa pain indistinguishable from acute appendicitis. The true diagnosis of a perforated acute caecal diverticulitis with an abscess mass was only made at operation in the presence of a macroscopically normal appendix. We reviewed the literature to highlight the difficulty of a preoperative diagnosis and the need for a high index of suspicion especially in the older age group presenting in manner similar to acute appendicitis.
نوع الوثيقة: report
اللغة: English
العلاقة: http://www.wjes.org/content/4/1/29Test
الإتاحة: http://www.wjes.org/content/4/1/29Test
حقوق: Copyright 2009 Cole et al; licensee BioMed Central Ltd.
رقم الانضمام: edsbas.416D38CE
قاعدة البيانات: BASE