[Localized cecal ischemia of primary appearance. A re-appraisal]

Localized ischemic lesions of the caecum should be classified among ischemic colitis. However, a separate study is justified to their original clinical presentation due to the fact that these lesions are, on one hand small, and on the other hand, sit in the right lower quadrant of the abdomen. For each of an appendicitis, operation will be performed quicker than in ischemic colitis in their usual presentation. The treatment is variable, including abstention, localized excision-suture, right hemicolectomy. Results are usually good. Coelioscopy in the future may have a place as in one of our three observations and must be evaluated.