J Acute Care Surg.
2024 Jul;14(2):59-62. 10.17479/jacs.2024.14.2.59.
The Association of Isolated Cecal Necrosis Symptoms with Acute Appendicitis: A Case Report
- Affiliations
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- 1Department of Internal Medicine, Cliniques Universitaires des Montagnes, Bangangté, West-Cameroon
- 2Department of Surgery, Cliniques Universitaires des Montagnes, Bangangté, West-Cameroon
- 3Department of General and Digestive Surgery, CHU de Ouahigouya, Burkina Faso
- KMID: 2557998
- DOI: http://doi.org/10.17479/jacs.2024.14.2.59
Abstract
- We report a case of isolated cecal necrosis (ICN) associated with acute appendicitis in a geriatric patient in order to underline the didactic, diagnostic and therapeutic interest. This was a 70-year-old widowed female farmer living in a rural area who presented with localized abdominal pain in the right iliac fossa. The diagnosis of acute appendicitis was made. A Mac Burney incision approach revealed ICN and an inflamed appendix. The patient had an ileostomy and a partial cecal necrosectomy with an epiploic patch. A digestive fistula occurred on postoperative Day 60. The patient was transferred to a more technical center where she had a right hemicolectomy with latero-lateral ileocolic anastomosis. The prognosis was poor. The patient died 4 days later in respiratory distress.
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