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Revista Venezolana de Cirugía
Print version ISSN 0378-6420On-line version ISSN 2665-0401
Abstract
VASSALLO P, Miguel; CANTELE P, Héctor E; VILLEGAS, Inés and INCHAUSTI, Cristina. CECAL DIVERTICULITIS. A CASE REPORT. RevVenezCir [online]. 2023, vol.76, n.2, pp.129-132. Epub Apr 29, 2024. ISSN 2665-0401. https://doi.org/10.48104/rvc.2023.76.2.12.
Cecal diverticulosis is an uncommon condition, representing 3.6% of diverticular disease cases, with its most common complication being diverticulitis.
Case report:
We present the case of a 79-year-old patient who consulted for right iliac fossa pain, nausea, and chills; laboratory findings showing a white blood cell count of 16,900/μL (neutrophils 79%) and C-reactive protein of 4.51 mg/L. Laparoscopy revealed a 2 x 3 cm purple-colored cecal tumor with signs of pericecal inflammation, right hemicolectomy was performed. Histopathological analysis confirmed a true ischemic cecal diverticulum.
Conclusion:
Cecal diverticulitis is an infrequent condition that can mimic an acute abdomen, necessitating a high index of suspicion, especially in patients over 40 years of age. Laparoscopic approach proves to be a safe and effective method for diagnosis and treatment in these patients.
Keywords : Diverticulitis; solitary cecal diverticulum; laparoscopy; right hemicolectomyl.
