Turkish Journal of Surgery

Turkish Journal of Surgery

ISSN: 2564-6850
e-ISSN: 2564-7032

 

Kemal Eyvaz1, Hasan Ediz Sıkar2, Mehmet Gökçeimam2, Hasan Fehmi Küçük2, Necmi Kurt2

1Department of General Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
2Department of General Surgery, University of Health Sciences, Kartal Training and Research Hospital, İstanbul, Turkey

Abstract

We would like to present the case of a 76-year-old female patient with cecal necrosis, which is a rare cause of acute abdomen in elderly women and a variant of ischemic colitis. The patient was admitted to our hospital with abdominal pain, anorexia, and nausea. Physical examination, laboratory parameters, and abdominal computed tomography revealed acute abdomen. We operated the patient with an infra-umbilical midline incision. Considering the pain localized to the right lower quadrant, our initial diagnosis was acute appendicitis; however, we kept in mind other differential diagnoses as well. After laparotomy Non-occlusive cecal necrosis was detected. Arterial pulse was palpated; however, no signs of trombus were detected. Patient also have a Meckel’s diverticulum. Terminal ileum plus cecum resection and Meckel’s diverticulum excision were performed. Isolated necrosis of the cecum may be caused due to multiple reasons. Especially in elderly female patients with predisposing factors like hypotension, sepsis, shock, drug use, vasculitis, and hypercoagulability, cecal necrosis should be kept in mind.

Keywords: Acute abdomen, isolated necrosis of the cecum, ischemic colitis

Cite this paper as: Eyvaz K, Sıkar HE, Gökçeimam M, Küçük HF, Kurt N. A rare cause of acute abdomen: Isolated necrosis of the cecum. Turk J Surg 2018; 10.5152/turkjsurg.2018.1334.


 

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - K.E., N.K.; Design - K.E., N.K., H.E.S., M.G.; Supervision - K.E., N.K., H.E.S.; Materials - K.E., N.K., H.E.S.; Data Collection and/or Processing - K.E., H.F.K., H.E.S., M.G.; Analysis and/or Interpretation - K.E., M.G., H.F.K.; Literature Search - H.E.S., K.E., M.G.; Writing Manuscript - K.E., N.K., H.E.S., H.F.K.; Critical Reviews - K.E., N.K., H.F.K.

Conflict of Interest

The authors have no conflicts of interest to declare

Financial Disclosure

The authors declared that this study has received no financial support.