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Solitary Cecal Ulcer: A Case Report.
Chun Qiang Li1, An-Qi He1, Gang Liu1
1Department of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Frontiers in Surgery
|April 18, 2022
Summary
Solitary cecal ulcer is a rare condition with unknown causes and no distinct symptoms. This case highlights its potential to mimic cancer, emphasizing the need for thorough diagnosis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Solitary cecal ulcer (SCU) is an uncommon gastrointestinal diagnosis.
- Its etiology remains largely unknown, contributing to diagnostic challenges.
Observation:
- A 64-year-old woman presented with chronic, worsening right lower abdominal pain.
- Colonoscopy revealed a large cecal ulcer with increased metabolic activity on PET-CT.
Findings:
- Histopathological examination confirmed chronic non-specific inflammation, ruling out malignancy.
- The patient was diagnosed with solitary cecal ulcer after extensive workup.
Implications:
- SCU can present insidiously and mimic more aggressive pathologies like colorectal cancer.
- Accurate diagnosis of SCU is crucial for appropriate patient management and avoiding unnecessary aggressive treatments.
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