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Cecal Diverticulitis is a Challenging Diagnosis: A Report of 3 Cases

Dimitrios S. Kyziridis, Styliani N. Parpoudi, Nikolaos D. Antoniou, Dimitrios Ch. Konstantaras, Moysis G. Moysidis, Emmanuel Ch. Christoforidis, Konstantinos G. Tsalis

(4th Department of Surgery, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece)

Am J Case Rep 2015; 16:206-210

DOI: 10.12659/AJCR.892848

Published: 2015-04-08

Background: Cecal diverticulitis is an uncommon cause of acute abdominal pain and presents clinically similar to acute appendicitis. There are many perspectives concerning the management of this condition, ranging from different types of surgical resections to conservative treatment with antibiotics.
Case Report: We present 3 cases of cecal diverticulitis. One of the patients was treated conservatively with intravenous antibiotics and the other 2 were treated with surgical resection.
Conclusions: Conservative treatment with intravenous antibiotics can be used in uncomplicated cecal diverticulitis. Complicated cecal diverticulitis is managed surgically and the type of resection depends mainly on the extent of inflammation.

Keywords: Adult, Acute Disease, Aged, Cecal Diseases - diagnosis, Diagnosis, Differential, Diverticulitis - diagnosis, Female, Humans, Laparoscopy, Male, Middle Aged, Tomography, X-Ray Computed