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Cecal vascular malformation mimicking appendicitis in a child
Sherif Emil1, Siamak Milanchi, Adrian Goldstein
1Division of Pediatric Surgery, School of Medicine, University of California, Irvine, CA, USA. semil@uci.edu
Pediatric Surgery International
|June 1, 2005
Summary
A pediatric patient presented with appendicitis-like symptoms. Surgery revealed a cecal vascular malformation, a rare cause of abdominal pain in children.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Pathology
- Vascular Anomalies
Background:
- Appendicitis is a common cause of acute abdominal pain in children.
- Cecal masses are rare in pediatric populations and can mimic appendicitis.
- Vascular malformations, though uncommon, should be considered in the differential diagnosis.
Observation:
- A 5-year-old girl experienced abdominal pain consistent with appendicitis.
- Intraoperative findings included a solid cecal mass and mesenteric adenopathy.
- A right hemicolectomy was performed for suspected malignancy or inflammatory process.
Findings:
- Pathologic examination confirmed a vascular malformation of the cecum.
- Evidence of recent hemorrhage was noted within the malformation.
- Mesenteric adenopathy was reactive, likely secondary to hemorrhage or inflammation.
Implications:
- This case highlights the importance of considering rare diagnoses in pediatric abdominal pain.
- Vascular malformations can present acutely, mimicking common surgical emergencies.
- Accurate preoperative diagnosis and surgical management are crucial for favorable outcomes.