World Journal of Emergency Surgery

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Cecal diverticulitis mimicking acute Appendicitis: a report of 4 cases

Oguzhan Karatepe*, Osman B Gulcicek, Gokhan Adas, Muharrem Battal, Yasar Ozdenkaya, Idris Kurtulus, Merih Altiok and Servet Karahan

Author Affiliations

Department of General Surgery, OkmeydanĂ˝ Training and Research Hospital, Istanbul, Turkey

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World Journal of Emergency Surgery 2008, 3:16 doi:10.1186/1749-7922-3-16

Published: 21 April 2008

Abstract

Diverticulum of the cecum is a rare, benign, generally asymptomatic lesion that manifests itself only following inflammatory or hemorrhagic complications. Most patients with inflammation of a solitary diverticulum of the cecum present with abdominal pain that is indistinguishable from acute appendicitis. The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection. We describe four cases that presented with symptoms suggestive of appendicitis, but were found at operation to have an inflamed solitary diverticulum.