Techniques in Coloproctology

, Volume 15, Supplement 1, pp 43–45 | Cite as

Inflammation of solitary caecal diverticula: a rare aetiology of acute abdominal pain: an experimental study

  • D. Paramythiotis
  • V. N. Papadopoulos
  • A. Michalopoulos
  • D. Panagiotou
  • S. Panidis
  • E. Digkas
  • L. Papaefthymiou
  • G. Basdanis
Article

Abstract

Caecal diverticula are rare, representing the 3.6% of colonic diverticula. They may have congenital origin and remain asymptomatic, presenting as an accidental finding. We present a case of a 42-year-old Caucasian woman, admitted with a 12-h history of sudden onset of sharp right iliac fossa pain, anorexia, and nausea. There was leukocytosis (23.49 × 103/μl) and increased C-reactive protein (11.76 mg/dl). CT scan showed an inflamed appendix. At laparotomy, a diffuse caecal phlegmon with an inflammatory solitary caecal diverticula was found. A limited right hemicolectomy was performed. Histological examination confirmed the caecal diverticulitis without malignancy. Post-operative period was uneventful. Three months later, endoscopy showed no diverticula or other pathologies. Solitary caecal diverticulum is very rare, but surgeons must bear this in mind in case of pain in right iliac fossa.

Keywords

Caecal diverticula Right iliac fossa pain 

Notes

Conflict of interest

The authors declare that they have no conflict of interest related to the publication of this article.

References

  1. 1.
    Chiu PW, Lam CY, Chow TL et al (2001) Conservative approach is feasible in the management of acute diverticulitis of the right colon. ANZ J Surg 71:634–636PubMedCrossRefGoogle Scholar
  2. 2.
    Papapolychroniadis C, Kaimakis D, Fotiadis P et al (2004) Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literature. Tech Coloproctol 8(Suppl 1):s116–s118PubMedCrossRefGoogle Scholar
  3. 3.
    Sardi A, Gokli A, Singer JA (1987) Diverticular disease of the cecum and ascending colon. A review of 881 cases. Am Surg 53:41–45PubMedGoogle Scholar
  4. 4.
    Shyung LR, Lin SC, Shih SC et al (2003) Decision making in right-sided diverticulitis. World J Gastroenterol 9:606–608PubMedGoogle Scholar
  5. 5.
    Greaney EM, Snyder WA (1957) Acute diverticulitis of the caecum encountered at emergency surgery. Am J Surg 94:270–281PubMedCrossRefGoogle Scholar
  6. 6.
    Biyani DK, Benbow EW, Watson AJ (2006) Diverticula of the appendix. Colorectal Dis 8:812–813PubMedCrossRefGoogle Scholar
  7. 7.
    Abdullgaffar B (2009) Diverticulosis and diverticulitis of the appendix. Int J Surg Pathol 17:231–237PubMedCrossRefGoogle Scholar
  8. 8.
    Cartwright SL, Knudson MP (2008) Evaluation of acute abdominal pain in adults. Am Fam Physician 77:971–978PubMedGoogle Scholar
  9. 9.
    Junge K, Marx A, Peiper Ch et al (2003) Caecal-diverticulitis: a rare differential diagnosis for right-sided lower abdominal pain. Colorectal Dis 5:241–245PubMedCrossRefGoogle Scholar
  10. 10.
    Delikaris P, Stubbe Teglbjaerg P, Fisker-Sørensen P et al (1983) Diverticula of the vermiform appendix. Alternatives of clinical presentation and significance. Dis Colon Rectum 26:374–376PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • D. Paramythiotis
    • 1
    • 2
  • V. N. Papadopoulos
    • 1
  • A. Michalopoulos
    • 1
  • D. Panagiotou
    • 1
  • S. Panidis
    • 1
  • E. Digkas
    • 1
  • L. Papaefthymiou
    • 1
  • G. Basdanis
    • 1
  1. 1.1st Propedeutic Surgical DepartmentAristotle University of Thessaloniki, A.H.E.P.A. University HospitalThessalonikiGreece
  2. 2.Pylaia, ThessalonikiGreece

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