Isolated cecal necrosis: our surgical experience and a review of the literature.
OBJECTIVE
Isolated cecal necrosis is a rare cause of ischemic colitis. Ischemic colitis is further divided into two groups: occlusive mesenteric ischemia and non-occlusive mesenteric ischemia. The aim of this study was to investigate the cause of isolated cecal necrosis.


METHODS
We operated on 3 male and 3 female patients with a mean age of 60.3±18.7 (38-85) years with a preliminary diagnosis of acute appendicitis between 2007 and 2012. Four of these patients were on hemodialysis, 1 patient had an aortofemoral bypass, and 1 patient had coronary artery disease with atrial fibrillation.


RESULTS
The diagnosis was made intraoperatively in all cases. Five patients died postoperatively. One patient survived.


CONCLUSIONS
In the case of right lower quadrant pain, the possibility of isolated cecal necrosis should be kept in mind, especially in patients on hemodialysis, elderly patients with diabetes, and heart disease; surgical strategies should be planned accordingly, and it should be understood that a high mortality rate will be inevitable.
Clinic of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
Ekrem
E
Çakar
Clinic of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
Feyzullah
F
Ersöz
Clinic of General Surgery, Kocaeli State Hospital, Kocaeli, Turkey.
Murat
M
Bag
Clinic of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
Savaş
S
Bayrak
Clinic of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
Şükrü
Ş
Çolak
Clinic of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
Hasan
H
Bektaş
Clinic of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
M Emin
ME
Güneş
Department of Nursing, İstanbul Gelişim University, İstanbul, Turkey.
Emel
E
Çakar
Isolated cecal necrosis; appendicitis; non-occlusive mesenteric ischemia