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International Journal of Colorectal Disease

, Volume 34, Issue 7, pp 1333–1336 | Cite as

Management of cecal diverticulitis diagnosed by computed tomography scan

  • Daniel W. KauffEmail author
  • Roman Kloeckner
  • Sohall Frogh
  • Hauke Lang
Short Communication
  • 53 Downloads

Abstract

Purpose

Cecal diverticulitis is a rare entity causing right iliac fossa pain. Its symptoms may mimic acute appendicitis. Therefore, the majority of these patients undergo unnecessary surgery for suspected diagnosis of appendicitis.

Methods

We report a case series of solitary cecal diverticulitis, right-sided colonic diverticulitis, and perforated cecal diverticulitis diagnosed by computed tomography scan.

Results

The first two cases were successfully managed conservatively with intravenous antibiotics, rehydration, and temporary bowel rest. The third case developed a retroperitoneal abscess, which was initially drained under computed tomography guidance. However, due to development of septicemia, the patient underwent urgent right hemicolectomy. All patients recovered and were discharged during the further course.

Conclusions

Computed tomography is of great value for the diagnosis of cecal diverticulitis and its differentiation from acute appendicitis. Conservative treatment is sufficient in uncomplicated cases, while surgery is reserved for those with associated large abscess or free perforation.

Keywords

Cecal disease Diverticulitis Colonic diverticulosis Cecum Appendicitis Computed tomography 

Notes

Availability of data and materials

The data supporting our thesis is completely available in this article. Articles referred to can be found in the reference list.

Authors’ contributions

DWK analyzed the existing data concerning the treatment of the patients regarded and wrote the manuscript. DWK and RK selected and designed the radiological images. DWK treated the patients regarded and read and approved the manuscript. RK, SF, and HL read and approved the manuscript. All authors read and approved the final version of the manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval and consent to participate

Written informed consent was obtained from the patients for publication and any accompanying images. A copy of the written consent is available for review by the Editor of this journal. This study was carried out respecting the Declaration of Helsinki in its current version. Ethical approval was obtained from the ethics committee Rhineland-Palatinate, Germany (Approval number 2019-14201).

Consent to publish

Written informed consent was obtained from the patients for publication and any accompanying images.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of General, Visceral and Transplantation SurgeryUniversity Medical Center of the Johannes Gutenberg-UniversityMainzGermany
  2. 2.Department of Diagnostic and Interventional RadiologyUniversity Medical Center of the Johannes Gutenberg-UniversityMainzGermany
  3. 3.Department of Medicine IUniversity Medical Center of Johannes Gutenberg-UniversityMainzGermany

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