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Open AccessCase Report

A Case of Isolated Cecal Necrosis Preoperatively Diagnosed with Perforation of Cecum

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Division of Surgery Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan
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Division of Pathology Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(1), 9; https://doi.org/10.3390/medicina55010009
Received: 19 October 2018 / Revised: 20 December 2018 / Accepted: 8 January 2019 / Published: 10 January 2019
Isolated cecal necrosis (ICN) is a rare condition which is developed under decreased mesenteric perfusion. Only a few dozen cases of ICN have been reported previously. The patient was a 59-year-old male with a previous history of atrial fibrillation. He presented to our emergency room with the chief complaint of lower abdominal pain. Computed tomography imaging revealed a dilated cecum and presence of free air. With a preoperative diagnosis of perforation of the cecum; an urgent surgery was conducted. Intraoperative findings revealed an ischemic change of the cecum and a laparoscopic-assisted ileocecal resection was performed. The pathological findings showed transmural ischemic change on the anti-mesenteric side of the cecum, and the diagnosis of ICN was achieved. Preoperative diagnosis of ICN is difficult because of its non-specific radiological features. In patients with right lower abdominal pain, ICN should be considered as a differential diagnosis especially if the patient has a comorbidity causing hypotension attack. View Full-Text
Keywords: isolated cecal necrosis; laparoscopic-assisted surgery isolated cecal necrosis; laparoscopic-assisted surgery
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Kohga, A.; Yajima, K.; Okumura, T.; Yamashita, K.; Isogaki, J.; Suzuki, K.; Komiyama, A.; Kawabe, A. A Case of Isolated Cecal Necrosis Preoperatively Diagnosed with Perforation of Cecum. Medicina 2019, 55, 9.

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