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Perforation of Cecal Diverticulum after Appendectomy
- Source :
- Journal of the College of Physicians and Surgeons--Pakistan : JCPSP. 29(2)
- Publication Year :
- 2017
-
Abstract
- Solitary cecal diverticulum was first described by Potier in 1912. Although it is a rare condition, however, there is an increased prevalence in Asian populations. The cecal diverticula are usually asymptomatic, however, 10-20% of the cases become symptomatic due to complications. The most common diverticulum-related complication is diverticulitis. Other complications include perforation, hemorrhage, and rarely intestinal obstruction. To conclude, cecal diverticulum is a rare condition that usually presents itself with complications. It is mostly diagnosed perioperatively in the cases of acute appendicitis, and rarely preoperatively. Cecal diverticulitis is commonly misdiagnosed as acute appendicitis. This is why USG, CT, and MRI are commonly used in the preoperative diagnosis. There are very few cases that are confirmed to have both cecal diverticulitis and acute appendicitis. When the condition is majorly diagnosed perioperatively after an acute appendicitis diagnosis; it should be remembered that in the case of determining cecal diverticulitis during the appendectomy, the best course of action is to simultaneously apply diverticulectomy. In this case report, a 54-year male patient is presented, where a cecal diverticulum perforation developed in the early postoperative phase following the appendectomy. At the time of admission, the patient had the complaints of distension, extensive sensitivity, and rebound. The patient underwent laparotomy and the diverticulectomy was performed with a linear stapler. In this case, the presence of a combination of acute appendicitis and cecal diverticulitis was confirmed through histopathological examination.
- Subjects :
- Male
Reoperation
medicine.medical_specialty
medicine.medical_treatment
Perforation (oil well)
digestive system
Risk Assessment
Course of action
Postoperative Complications
Rare Diseases
Laparotomy
medicine
Postoperative phase
Appendectomy
Cecal Diseases
Humans
business.industry
General Medicine
Diverticulitis
Middle Aged
medicine.disease
Appendicitis
Magnetic Resonance Imaging
Surgery
Diverticulum
Treatment Outcome
Male patient
Intestinal Perforation
Cecal Diverticulum
Complication
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 16817168
- Volume :
- 29
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
- Accession number :
- edsair.doi.dedup.....7e2297e3c13427c09bcf61402516e4b9