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Case Reports in Surgery
Volume 2012, Article ID 789397, 4 pages
http://dx.doi.org/10.1155/2012/789397
Case Report

An Unusual Cause of Right Lower Quadrant Pain: The Caecum Diverticulitis

1Department of General Surgery, Medical School, University of Balıkesir, 10145 Balıkesir, Turkey
2Department of General Surgery, Trabzon Numune Training and Research Hospital, 61040 Trabzon, Turkey
3Department of General Surgery, Medical School, University of Bozok, 66900 Yozgat, Turkey
4Department of General Surgery, Mengucek Gazi Training and Research Hospital, Erzincan University, 24100 Erzincan, Turkey
5Pathology Department, Mus State Hospital, 49000 Mus, Turkey

Received 5 October 2011; Accepted 13 November 2011

Academic Editor: M. Rangarajan

Copyright © 2012 Murat Yildar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. In the study presented, preoperative examinations and surgical methods were discussed along with literature, regarding two cases who were operated with the prediagnosis of acute appendicitis and for whom caecum diverticulitis was determined. Case 1. 21 years old male patient who had applied to hospital with complaint of abdominal pain, underwent an operation with a prediagnosis of acute appendicitis. Right hemicolectomy was performed with mass perioperatively determined in caecum. Histopathological examination revealed necrosis and inflammation in diverticulum wall. Case 2. 36 years old female patient applied to emergency department with abdominal pain and underwent an operation with a prediagnosis of acute appendicitis. Appendectomy and diverticulectomy were performed for whom inflame diverticula in caecum was determined perioperatively. Histopathological examination was revealed acute inflammation in diverticulum wall. Conclusion. Although solitary caecum diverticulitis is a rarely encountered disease, it must be considered in the differential diagnosis of right lower abdomen pain.