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Arch Surg. 2008;143(3):310.

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Answer: Cecal Diverticulitis

On examination of the cecum and appendix, it became apparent that the firm, whitish structure protruding from the anterior aspect of the cecum was a diverticulum. It measured 2.0 x 2.0 x 1.8 cm and appeared grossly necrotic with considerable inflammation in the surrounding area. Although the appendix seemed superficially inflamed, this was secondary to the inflamed diverticulum. Other than the findings noted earlier and a second, noninflamed diverticulum near the ileocecal junction, the cecum and the remainder of the colon appeared normal and free of diverticuli. The patient underwent an uncomplicated laparoscopic-assisted limited ileocecectomy with ileocolostomy and was without symptoms 1 year after discharge. Histopathological analysis of the specimen revealed mucosal inflammation and necrosis of a true diverticulum of the cecum without extension into the muscularis. The rest of the cecum, the appendix, and the remainder of the specimen had no evidence of any other abnormalities.

Diverticulum of the . . . [Full Text of this Article]

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Arch Surg. 2008;143(3):309.
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