title: Therapy of solitary cecal diverticulitis in a young patient with laparoscopic right hemicolectomy.
abstract: Cecal diverticulum of colon is a relatively rare and benign condition in the western world. The reported frequency is approximately 1 in 300 appendectomies. They are usually asymptomatic but it may cause inflammatory, hemorrhagic, or perforatory complications. It is often clinically indistinguishable from acute appendicitis. The diagnosis is almost made intraoperatively. We present a 21-year-old female patient who admitted to our emergency unit with right lower quadrant abdominal pain. Diagnostic laparoscopy was performed due to suspicious acute appendicitis. During exploration, an inflammatory mass originated from cecum was noticed. Laparoscopic right hemicolectomy was performed due to suspicious malignant mass. The postoperative course was uneventful. Although radiologic techniques are improved; the diagnosis of solitary cecal diverticulum is difficult. The choice of surgical therapy is controversial. The therapy is ranged from a simple diverticulectomy to right hemicolectomy. Diagnostic laparoscopy can help the surgeon in the diagnosis of right lower quadrant pain and therapy of solitary cecal diverticulitis.
authors.affiliation: General Surgery Clinic, Fatih Sultan Mehmet EA Hospital, Istanbul, Turkey. haltun@hotmail.com.tr
authors.forename: Hasan
authors.initials: H
authors.lastname: Altun
authors.forename: Baris
authors.initials: B
authors.lastname: Mantoglu
authors.forename: Mehmet
authors.initials: M
authors.lastname: Okuducu
authors.forename: Ender
authors.initials: E
authors.lastname: Onur
authors.forename: Ahmet
authors.initials: A
authors.lastname: Baskent
authors.forename: Aziz Bora
authors.initials: AB
authors.lastname: Karip
authors.forename: Mehmet Timucin
authors.initials: MT
authors.lastname: Aydin
authors.forename: Kemal
authors.initials: K
authors.lastname: Memisoglu
mesh_terms: D002429:Cecal Diseases / Q000175:diagnosis / Q000601:surgery*; D003082:Colectomy / Q000379:methods*; D003937:Diagnosis, Differential; D004238:Diverticulitis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D055815:Young Adult