title: Intraoperative diagnosis of solitary cecal diverticulum not requiring surgery: is appendectomy indicated?
abstract: OBJECTIVE
  To compare experience with solitary cecal diverticulum (SCD) with literature on the indication for appendectomy in cases of solitary cecal diverticulitis.
  
  
  METHODS
  We retrospectively reviewed all cases of SCD in our institution from September 2011 to March 2013. Data on sex, age, ethnic origin, presence of pain in the right iliac fossa, duration of symptoms, diagnosis, management, intraoperative findings, histologic examination, hospital stay, complications, and follow-up were reviewed and analyzed. We compared this to related literature reported between 2000 and 2015.
  
  
  RESULTS
  In the study period, 10 patients presented with an SCD. Male sex and Asian origin were predominant. All patients had pain in the right iliac fossa, with a duration of 2-5 days. In nine cases the diagnosis was made by clinical examination and laboratory testing. One patient who had undergone a previous appendectomy was diagnosed with SCD by computed tomography. This last patient was treated conservatively, four patients were treated with resection of the cecum "en bloc" with the last jejunal loop and appendix, and the other five patients were treated with appendectomies. Two patients had minor complications. All patients were followed up for a minimum of 12 to a maximum of 24 months. No recurrence was recorded in either the case treated conservatively or the cases treated by appendectomies.
  
  
  CONCLUSIONS
  In cases of operative but conservative treatment for SCD, appendectomy could be justified to avoid misdiagnosis in case of future episodes of solitary cecal diverticulitis.
authors.affiliation: Department of General Surgery, Hamad General Hospital, 3050 Doha, Qatar.
authors.forename: Renol M
authors.initials: RM
authors.lastname: Koshy
authors.affiliation: Department of General Surgery, Hamad General Hospital, 3050 Doha, Qatar.
authors.forename: Abdelrahman
authors.initials: A
authors.lastname: Abusabeib
authors.affiliation: Department of General Surgery, Hamad General Hospital, 3050 Doha, Qatar.
authors.forename: Saif
authors.initials: S
authors.lastname: Al-Mudares
authors.affiliation: Department of General Surgery, Hamad General Hospital, 3050 Doha, Qatar.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Khairat
authors.affiliation: Department of Surgery, Patti Hospital, Patti (ME), Italy.
authors.forename: Adriana
authors.initials: A
authors.lastname: Toro
authors.affiliation: Department of General Surgery, Hamad General Hospital, 3050 Doha, Qatar ; Department of Surgical Sciences and Advanced Technologies, "G.F. Ingrassia" University of Catania, Catania, Italy.
authors.forename: Isidoro
authors.initials: I
authors.lastname: Di Carlo
keywords: Appendectomy; Cecum; Diverticulum; Solitary