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A case of pneumococcal typhlitis

J S Harvey, R Freeman, P J Corbett

Archives of Surgery (Chicago, Ill. : 1960)

|August 1, 1976

Summary

This summary is machine-generated.

A rare case of cecal wall abscess, mimicking appendicitis, was successfully treated. Pneumococci from the abscess suggest a link between upper respiratory infections and typhlitis.

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Area of Science:

Gastroenterology
Infectious Diseases
Surgical Pathology

Background:

Acute abdominal pain often presents diagnostic challenges, with appendicitis being a common consideration.
Typhlitis, or inflammation of the cecum, can be associated with various underlying conditions.

Observation:

A 29-year-old male presented with acute abdominal pain suggestive of appendicitis.
Sinusitis was noted as a concurrent two-week history.
Surgical exploration revealed a normal appendix but an abscess within the cecal wall.

Findings:

Pneumococci were identified in the exudate from the cecal abscess.
The patient underwent incidental appendectomy.
Successful treatment was achieved with lincomycin hydrochloride and cephalexin monohydrate.

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Implications:

This case highlights that typhlitis, potentially secondary to an upper respiratory infection, can mimic acute appendicitis.
Prompt diagnosis and appropriate antibiotic therapy are crucial for managing cecal abscesses.
Understanding the link between respiratory infections and gastrointestinal complications may improve patient outcomes.