A Rare Cause of Acute Abdomen: Idiopathic Isolated Cecal Necrosis


Ozer E. , Aydin I. , Pergel A. , Yucel A. F. , Sahin D. A. , Sehitoglu I.

HASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKI, cilt.53, ss.85-87, 2015 (ESCI İndekslerine Giren Dergi) identifier identifier

  • Cilt numarası: 53 Konu: 1
  • Basım Tarihi: 2015
  • Doi Numarası: 10.4274/haseki.1956
  • Dergi Adı: HASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKI
  • Sayfa Sayıları: ss.85-87

Özet

Idiopathic isolated cecal necrosis is a clinical problem characterized by right-sided inferior abdominal pain. It is rarely seen, develops due to decreased blood flow to the colon and, imitates acute appendicitis. Its clinical signs are similar to many illnesses causing sensitivity in the right inferior quadrant and, the diagnosis is generally determined during surgery. An 86-year-old male patient presented with the complaints of abdominal pain, trichiniasis, nausea and vomiting. Surgical intervention was decided when physical examination and laboratory results were taken into consideration. After diagnostic laparoscopy, right hemicolectomy was performed because of cecal necrosis. While the mortality and morbidity rates for ischemic bowel disease are high, prognosis for early diagnosed patients with isolated cecal necrosis is better, provided that timely surgical treatment is decided.