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Cecal diverticulitis as a continuing diagnostic and management dilemma: a report of two cases in children
Elaine Cheng1, Leslie Cohen, Selom Gasinu
1Department of Surgery, Weill Cornell Medical College, New York, NY 10065, USA.
Insights
Right-sided diverticulitis is rare in children and often mistaken for appendicitis. Early diagnosis and prompt management are crucial for better outcomes in pediatric cecal diverticulitis cases.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Diseases
Background:
- Right-sided diverticulitis is uncommon in pediatric patients.
- Clinical presentation frequently mimics acute appendicitis, complicating diagnosis.
Observation:
- Two cases of pediatric cecal diverticulitis are presented.
- Diagnostic challenges in differentiating from appendicitis are highlighted.
Findings:
- Cecal diverticulitis requires careful consideration in pediatric patients with right lower quadrant pain.
- Preoperative diagnosis can be difficult, often necessitating surgical exploration.
Implications:
- This condition underscores the importance of considering rare diagnoses in pediatric abdominal pain.
- Effective management strategies for pediatric cecal diverticulitis are discussed based on literature review.
Abstract:
Right-sided diverticulitis remains an exceedingly rare condition in the pediatric population. The clinical presentation mimics acute appendicitis, and the correct diagnosis is often difficult to make prior to operative exploration. We report two cases of cecal diverticulitis, and discuss the diagnosis and management of this disease, with a review of the literature.
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