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[Benign ulcers of the cecum]
G Finucci1, M Bianchini, P Micheli
1UO Chirurgia Generale, USL N. 2, Ospedale Campo di Marte, Lucca.
Minerva Chirurgica
|April 29, 1998
Summary
Benign cecal ulcers are rare and difficult to diagnose preoperatively. Colonoscopy with biopsy may aid diagnosis in non-acute cases, followed by right hemicolectomy.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Benign ulceration of the cecum is an uncommon gastrointestinal lesion.
- Etiology remains unknown, and symptoms are not pathognomonic, complicating diagnosis.
Purpose:
- To present seven cases of benign cecal ulcers.
- To suggest improved diagnostic strategies and management for this rare condition.
Summary:
- Definitive diagnosis is typically made post-surgically via histology after right hemicolectomy for suspected cecal neoplasm.
- The authors propose that colonoscopy with biopsy may enable preoperative diagnosis in asymptomatic or non-acute abdominal presentations.
- Right hemicolectomy is recommended for confirmed cases.
Impact:
- Enhances diagnostic capabilities for benign cecal ulcers.
- Potentially reduces unnecessary surgeries for suspected neoplasms.
- Informs clinical practice regarding the management of rare cecal lesions.