Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Isolated cecal necrosis mimicking acute appendicitis: a case series | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Isolated cecal necrosis mimicking acute appendicitis a case series Abuzer Dirican1 Bulent Unal1 Nuray Bassulu2 Faik Tatli1 Cemalettin Aydin1 and Cuneyt Kayaalp1 Addresses department of General Surgery Inonu University School of Medicine Malatya Turkey and department of Pathology Inonu University School of Medicine Malatya Turkey Email AD - drabuzerdirican@ Corresponding author Received 10 January 2009 Accepted 13 February 2009 Published 19 June 2009 Journal ofMedical Case Reports 2009 3 7443 doi 1752-1947-3-7443 This article is available from http jmedicalcasereports article view 7443 2009 Dirican et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Spontaneous non-occlusive ischemic colitis involving the cecum alone isolated cecal necrosis is a rare condition that is generally due to a low-flow state shock. It presents with right lower quadrant abdominal pain and may resemble acute appendicitis. Little is known about postoperative ischemic necrosis of the remaining colon after surgical treatment of isolated cecal necrosis. We report four cases of isolated cecal necrosis mimicking acute appendicitis seen at our institution within a 4-year period. Case presentation The patients were two men and two women with a mean age at diagnosis of 59 years range 46-68 . The patients were of Turkish ethnic origin. All patients presented to the emergency room with acute abdominal pain and had symptoms of nausea and vomiting. The medical histories for three of the patients revealed end-stage renal failure requiring hemodialysis. The other patient had chronic obstructive pulmonary disease. Right hemicolectomy with .
