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Partial Infarction of Cecal Wall Presenting as Acute Appendicitis
Vugar Suleimanov1, Farrukh Shahzad2
1Surgery, Jubail General Hospital, Jubail, SAU.
Cureus
|December 14, 2022
Summary
Cecal wall necrosis, a rare condition, can mimic acute appendicitis. This case report emphasizes its consideration in patients with right lower quadrant pain and atypical symptoms.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Acute appendicitis is a common cause of acute abdomen, with a broad differential diagnosis.
- Cecal wall necrosis is rarely considered due to its infrequency and low surgeon awareness.
Observation:
- A 42-year-old male presented with right lower quadrant pain, nausea, vomiting, and anorexia, initially diagnosed as acute appendicitis.
- Surgical exploration revealed isolated cecal wall necrosis with a normal appendix.
Findings:
- The patient underwent cecal resection and ileocolic anastomosis.
- The patient recovered well and was discharged after 10 days.
Implications:
- Highlights the importance of considering cecal wall necrosis in the differential diagnosis of acute right lower quadrant abdominal pain.
- Aims to increase surgeon awareness of this rare but critical condition.
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