title: Laparoscopic 'sleeve' caecectomy for idiopathic solitary caecal ulcer mimicking appendicitis.
abstract: Idiopathic ulcer of the caecum is a rare condition of unknown aetiology. Its clinical presentation may mimic various pathologies, including appendicitis, inflammatory bowel disease and caecal malignancy. A definitive diagnosis is rarely established preoperatively, and is usually only confirmed histologically following surgical resection. We report a case of a young patient with caecal ulceration presenting with symptoms and signs of appendicitis, in whom laparoscopic anterior 'sleeve' caecectomy was performed to excise an inflammatory-looking mass involving the caecum. Histological examination demonstrated a deep mucosal ulcer and subsequent colonoscopy did not reveal any further pathology.
authors.affiliation: Queen Elizabeth the Queen Mother Hospital, Margate, Kent, UK.
authors.forename: Harkiran
authors.initials: H
authors.lastname: Sran
authors.affiliation: Queen Elizabeth the Queen Mother Hospital, Margate, Kent, UK.
authors.forename: Joseph
authors.initials: J
authors.lastname: Sebastian
authors.affiliation: Queen Elizabeth the Queen Mother Hospital, Margate, Kent, UK.
authors.forename: Samer
authors.initials: S
authors.lastname: Doughan
mesh_terms: D000328:Adult; D001064:Appendicitis / Q000175:diagnosis*; D002429:Cecal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D002432:Cecum / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D014456:Ulcer / Q000175:diagnosis* / Q000601:surgery; D055815:Young Adult