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A Rare Cause of Right Lower Quadrant Abdominal Pain: Isolated Cecal Necrosis

Turkish journal of colorectal disease, 2022-03, Vol.32 (1), p.31-35 [Peer Reviewed Journal]

2022. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 2536-4898 ;EISSN: 2536-4901 ;DOI: 10.4274/tjcd.galenos.2021.2020-8-5

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  • Title:
    A Rare Cause of Right Lower Quadrant Abdominal Pain: Isolated Cecal Necrosis
  • Author: Demirli Atıcı, Semra ; Üstün, Mehmet ; Avcı, Emran Kuzey ; Kaya, Tayfun ; Çalık, Bülent
  • Subjects: Abdomen ; Cardiovascular disease
  • Is Part Of: Turkish journal of colorectal disease, 2022-03, Vol.32 (1), p.31-35
  • Description: Aim: Isolated cecal necrosis (ICN), a variant of ischemic colitis, is a rarely seen clinical condition. This aim of this case series was to evaluate the diagnosis and management of ICN. Method: Patients operated between December 2013-January 2020 with the presumptive diagnosis of acute abdomen and intra-operatively diagnosed as ICN were evaluated retrospectively. Results: There were 17 patients of whom nine (52.9%) were male. The mean age of the patients was 55.8 (range: 22-85) years. All the patients had at least one co-morbid disease, the most frequent of which were coronary artery disease, hypertension, and chronic renal failure. Fourteen (82.35%) underwent right hemicolectomy, and ileotransversostomy, while two (11.8%) had right hemicolectomy and Mikulicz ileocolostomy, and one (5.9%) underwent partial colonic resection with Mikulicz ileocolostomy due to limited cecal necrosis, which was diagnosed earlier. Six (35.3%) patients died. Conclusion: ICN must be kept in mind in the differential diagnosis of acute abdomen with right lower quadrant localization, especially in patients with co-morbid diseases. Due to delayed diagnosis and complications, such as perforation, ICN had a high rate of morbidity and mortality.
  • Publisher: Mersin: Galenos Publishing House
  • Language: English;Turkish
  • Identifier: ISSN: 2536-4898
    EISSN: 2536-4901
    DOI: 10.4274/tjcd.galenos.2021.2020-8-5
  • Source: Coronavirus Research Database
    ProQuest Central
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