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Kumar S, Fitzmaurice GJ, O'Donnell ME, et al. Acute right iliac fossa pain: not always appendicitis or a caecal tumour: two case reports. Cases J. 2009;2(1):88doi: 10.1186/1757-1626-2-88.
Kumar, S., Fitzmaurice, G. J., O'Donnell, M. E., & Brown, R. (2009). Acute right iliac fossa pain: not always appendicitis or a caecal tumour: two case reports. Cases journal, 2(1), 88. https://doi.org/10.1186/1757-1626-2-88
Kumar, Susim, et al. "Acute right iliac fossa pain: not always appendicitis or a caecal tumour: two case reports." Cases journal vol. 2,1 (2009): 88. doi: https://doi.org/10.1186/1757-1626-2-88
Kumar S, Fitzmaurice GJ, O'Donnell ME, Brown R. Acute right iliac fossa pain: not always appendicitis or a caecal tumour: two case reports. Cases J. 2009 Jan 27;2(1):88. doi: 10.1186/1757-1626-2-88. PMID: 19173712; PMCID: PMC2637256.
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Cases J. 2009 Jan 27;2(1):88. doi: 10.1186/1757-1626-2-88.

Acute right iliac fossa pain: not always appendicitis or a caecal tumour: two case reports.

Cases journal

Susim Kumar, Gerard J Fitzmaurice, Mark E O'Donnell, Robin Brown

Affiliations

  1. Department of General Surgery, Daisy Hill Hospital, Newry BT35 8DR, Northern Ireland, UK. [email protected].

PMID: 19173712 PMCID: PMC2637256 DOI: 10.1186/1757-1626-2-88

Abstract

BACKGROUND: A solitary diverticulum of the caecum is a rare benign condition which was first described by Potier in 1912 1. Clinical symptoms are usually a manifestation of complications arising from inflammation, perforation or haemorrhage. Despite radiological imaging, a pre-operative diagnosis is infrequent.

CASE PRESENTATION: We report two cases of right iliac fossa pain associated with a solitary caecal diverticulum. We discuss the clinical presentation, investigative modalities, and current therapeutic guidelines associated with this rare condition and highlight the difference from the more common conditions of appendicitis in the young and caecal neoplasms in the older patient.

CONCLUSION: Complications of a solitary caecal diverticulum should be considered in the differential diagnosis of acute right lower quadrant pain. Mild caecal diverticulitis verified pre-operatively by radiological imaging or laparoscopically can be ameliorated by antibiotics alone. However, severe inflammation, perforation, haemorrhage or torsion necessitates a localised or radical resection. The presence of multiple diverticula, caecal phlegmon, or the inability to rule out an underlying caecal neoplasm warrants a right hemicolectomy.

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