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Acute purulent diverticulitis in the cecum: case report
Iván Ramos-Cruz1, Carlos Sanjuan-Sánchez1, Selene Castillo1
1Servicio de Coloproctología, Clínica Imagen y Diagnóstico Médico, Oaxaca de Juárez, Oaxaca, México.
A rare case of acute purulent diverticulitis of the cecum, initially suspected as appendicitis, was treated with right hemicolectomy. This condition has a very low incidence in the Mexican population.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Appendicitis is a common cause of acute abdominal pain.
- Diverticulitis, particularly of the cecum, is rare, especially in certain populations.
Observation:
- A 40-year-old female presented with acute abdominal pain, mimicking appendicitis.
- Surgical exploration revealed a cecal plastron with purulent material, necessitating a right hemicolectomy.
Findings:
- Histopathology confirmed acute purulent diverticulitis of the cecum.
- This diagnosis is notably infrequent in the Mexican population.
Implications:
- Highlights the importance of considering uncommon diagnoses even with typical presentations.
- Emphasizes the need for thorough histopathological examination for accurate diagnosis.
- Contributes to understanding the epidemiology of cecal diverticulitis in diverse populations.
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