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DOI: 10.1055/s-2004-814535
Cecal Diverticulitis: An Unusual Endoscopic Finding
F. J. Fernández-Pérez, M. D.
Dept. of Gastroenterology
Costa del Sol Hospital
Ctra. Nacional 340, Km 187
Marbella 29600, Malaga
Spain
Fax: +34-952-823219
Email: ffernandezp@meditex.es
Publication History
Publication Date:
28 July 2004 (online)
Figure 1 Colonoscopy must be avoided whenever colonic diverticulitis is suspected. However, some patients are diagnosed endoscopically, most of them with left-sided diverticulitis. A 74 year-old woman presented with lower right abdominal pain. Her physical examination did not show any evidence of an abdominal mass or any peritoneal signs. Complementary studies showed a neutrophil count of10 950/ml and cecal wall thickening, with distortion of the surrounding fatty tissue on abdominal computed tomography, suggesting a colonic tumor.
Figure 2 Colonoscopy revealed fecal impaction inside a diverticular orifice close to the appendix, with severe mucosal inflammation surrounding it. There was no evidence of neoplasm. Diverticulectomy and appendectomy were carried out, with no postoperative complications: clinical practice, right-sided colonic diverticulitis is a rare finding, and a colonoscopic diagnosis is exceptional.
F. J. Fernández-Pérez, M. D.
Dept. of Gastroenterology
Costa del Sol Hospital
Ctra. Nacional 340, Km 187
Marbella 29600, Malaga
Spain
Fax: +34-952-823219
Email: ffernandezp@meditex.es
F. J. Fernández-Pérez, M. D.
Dept. of Gastroenterology
Costa del Sol Hospital
Ctra. Nacional 340, Km 187
Marbella 29600, Malaga
Spain
Fax: +34-952-823219
Email: ffernandezp@meditex.es
Figure 1 Colonoscopy must be avoided whenever colonic diverticulitis is suspected. However, some patients are diagnosed endoscopically, most of them with left-sided diverticulitis. A 74 year-old woman presented with lower right abdominal pain. Her physical examination did not show any evidence of an abdominal mass or any peritoneal signs. Complementary studies showed a neutrophil count of10 950/ml and cecal wall thickening, with distortion of the surrounding fatty tissue on abdominal computed tomography, suggesting a colonic tumor.
Figure 2 Colonoscopy revealed fecal impaction inside a diverticular orifice close to the appendix, with severe mucosal inflammation surrounding it. There was no evidence of neoplasm. Diverticulectomy and appendectomy were carried out, with no postoperative complications: clinical practice, right-sided colonic diverticulitis is a rare finding, and a colonoscopic diagnosis is exceptional.