Abstract
Diverticulum of the caecum is a rare, benign, generally asymptomatic lesion. The reported frequency in adults is about 1 in 300 appendectomies, but there has been no report of pediatric ceacal diverticulum in literature.Most patients with inflammation of a solitary diverticulum of the caecum present with abdominal pain that is indistinguishable from acute appendicitis. Therefore the diagnosis is mostly made intraoperatively. The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection. We describe a 13 years- old boy who presented with symptoms of appendicitis, but at operation he was found to have an inflamed solitary diverticulum
Keywords: Solitary diverticulum of the ceacum, childhood
References
- Ruiz-Tovar J, Reguero-Callejas ME, González Palacios F. Inflam
- mation and perforation of a solitary diverticulum of the cecum. A report of 5 cases and literature review. Rev Esp Enferm Dig 2006:98(11):875-80.
- Papapolychroniadis C, Kaimakis D, Fotiadis P, Karamanlis E, Ste- fopoulou M, Kouskouras K, et al. Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literature. Tech Coloproctol 2004:8 Supl 1:116-8.
- Karatepe O, Gulcicek OB, Adas G, Battal M, Ozdenkaya Y, Kurtu- lus I, et al. Cecal diverticulitis mimicking acute Appendicitis: a re- port of 4 cases. World J Emerg Surg 2008:3:16.
- Fang JF, Chen RJ, Lin BC, Hsu YB, Kao JL, Chen MF. Agg- ressive resection is indicated for cecal diverticulitis. Am J Surg 2003:185(2):135-40.
- Lane JS, Sarkar R, Schmit PJ, Chandler CF, Thompson JE Jr. Surgical approach to cecal diverticulitis. J Am Coll Surg 1 999:188(6):629-35.
- Connolly D, McGookin RR, Gidwani A, Brown MG. Inflamed so- litary caecal - diverticulum-it is not appendicitis, what should I do? Ann R Coll Surg Engl 2006:88(7):672-4.
- Wagner DE, Zollinger RW. Diverticulitis of the cecum and ascen- ding colon. Arch Surg 1961:83: 436-443.
- Tiu CM, Chiou HJ, Chou YH, Hsu CC, Lin KJ, Chen CM, et al. Sonography of acute right sided colonic diverticulitis. Am J Surg 2001:181(2):122-7.
- Komuta K, Yamanaka S, Okada K, Kamohara Y, Ueda T, Makimo- to N, et al. Toward therapeutic guidelines for patients with acute right colonic diverticulitis. Am J Surg 2004:187(2):233-7.