title: Partial cecal necrosis treated by laparoscopic partial cecal resection.
abstract: Acute colonic ischemia is the common cause of colitis in elderly population. However, isolated ischemic necrosis of cecum is rare entity, often associated with variety of conditions. Here we present a case of a 73-year old woman with a past history of hypertension presented with clinical symptoms of right lower quadrant abdominal pain and tenderness localized to the right lower quadrant, guarding and rebound tenderness. With diagnosis of acute appendicitis, the patient underwent laparoscopy where the cecal partial necrosis was discovered. Necrotic area of cecum was excised using two endoscopic cutters and laparoscopic appendectomy was performed. Pathologist report showed thrombosis of vessels and necrosis of entire cecal wall. The patient completely recovered without any surgical complications. This is the first case of partial cecum necrosis laparoscopicaly managed and with a partial cecal resection only.
authors.affiliation: Department of Surgery, University Hospital Split, Split, Croatia. zperko@kbsplit.hr
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Perko
authors.forename: Kanito
authors.initials: K
authors.lastname: Bilan
authors.forename: Katarina
authors.initials: K
authors.lastname: Vilović
authors.forename: Nikica
authors.initials: N
authors.lastname: Druzijanić
authors.forename: Damir
authors.initials: D
authors.lastname: Kraljević
authors.forename: Josko
authors.initials: J
authors.lastname: Juriicić
authors.forename: Dragan
authors.initials: D
authors.lastname: Krnić
authors.forename: Darko
authors.initials: D
authors.lastname: Srsen
authors.forename: Zenon
authors.initials: Z
authors.lastname: Pogorelić
authors.forename: Snjezana
authors.initials: S
authors.lastname: Tomić
mesh_terms: D000368:Aged; D001064:Appendicitis / Q000175:diagnosis; D002429:Cecal Diseases / Q000175:diagnosis* / Q000601:surgery; D002432:Cecum / Q000098:blood supply / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007511:Ischemia / Q000473:pathology; D010535:Laparoscopy; D009336:Necrosis