Isolated Partial Cecal Necrosis as a Differential Diagnosis of Right Lower Quadrant Pain: A Common Presentation with an Uncommon Diagnosis

Abstract

Introduction: Isolated cecal necrosis is a clinical problem and is usually associated with reduced colonic blood flow, which israre and mimics acute appendicitis. The findings of many diseases that cause pain in the lower right quadrant of the abdomenare similar to each other, and the diagnosis is usually made during the surgery.Case Report: A 53-year-old woman presented to our emergency department with chief complaints of abdominal pain, loss ofappetite, and nausea. There was sensitivity, defense, and rebound in the lower right quadrant during the physical examination.Intraoperative partial cecal necrosis was detected with surgical findings in the patient who was prediagnosed with appendicitis,and partial cecum resection with staplers was performed.Conclusion: While other ischemic diseases of the intestine have high morbidity and mortality rates, the prognosis of isolatedcecal necrosis is very good if it is prediagnosed and if surgery is performed on time.