Acute inflammation of a congenital cecal diverticulum mimicking appendicitis

Med Sci Monit. 2003 Dec;9(12):CS107-9.


Background: Cecal diverticulitis is a relatively rare problem in the Western world. It is often clinically indistinguishable from acute appendicitis.

Case report: We present a case of a young woman who was suspected to have acute appendicitis prior to operation. At operation an unexpected and suspicious cecal mass was found and the procedure was revised to a right hemicolectomy. Subsequent histological examination revealed an acutely inflamed solitary, congenital diverticulum of the cecum.

Conclusions: We would like to highlight this uncommon condition to ensure that its first encounter is not in the operating theatre. The varied and controversial management options are briefly discussed.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Acute Disease
  • Adult
  • Appendicitis / diagnosis*
  • Cecal Diseases / congenital*
  • Cecal Diseases / diagnosis*
  • Diagnosis, Differential
  • Diverticulitis / diagnosis*
  • Diverticulum / congenital*
  • Diverticulum / diagnosis*
  • Female
  • Gastroenteritis / diagnosis
  • Humans