Solitary Cecal Diverticulitis Mimicking Acute Appendicitis in a Child: Intraoperative Diagnosis

Asudan Tuğçe Bozkurter Çil1, Salim Gümüş2

  • 1Department of Pediatric Surgery, Medicana International Samsun Hospital, Samsun, Turkey.

Sisli Etfal Hastanesi Tip Bulteni
|May 8, 2020
PubMed

Insights

Right colonic and cecal diverticulitis can mimic appendicitis. This case highlights the importance of considering diverticulosis in pediatric patients presenting with appendicitis-like symptoms for timely diagnosis and treatment.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Diverticulosis, commonly seen in adults, is increasingly diagnosed in children.
  • Right colonic and cecal diverticulitis present with symptoms that can be mistaken for acute appendicitis.

Observation:

  • A 14-year-old male presented with symptoms suggestive of acute appendicitis.
  • Surgical exploration revealed a perforated solitary cecal diverticulitis.

Findings:

  • Cecal diverticulitis can present as acute appendicitis in pediatric patients.
  • The incidence of diverticulosis in children is rising.

Implications:

  • Emergency room physicians and pediatric surgeons should include cecal diverticulitis in the differential diagnosis of acute appendicitis.
  • Early diagnosis of cecal diverticulitis is crucial for effective treatment planning.

Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
1.8K
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
380
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
410
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
359