Kratko priopćenje
Partial Cecal Necrosis Treated by Laparoscopic Partial Cecal Resection
Zdravko Perko
Kanito Bilan
Katarina Vilović
Nikica Družijanić
Damir Kraljević
Joško Juričić
Dragan Krnić
Darko Sršen
Zenon Pogorelić
Snježana Tomić
Sažetak
Acute colonic ischemia is the common cause of colitis in elderly population. However, isolated ischemic necrosis of cecum
is rare entity, often associated with variety of conditions. Here we present a case of a 73-year old woman with a past history
of hypertension presented with clinical symptoms of right lower quadrant abdominal pain and tenderness localized
to the right lower quadrant, guarding and rebound tenderness. With diagnosis of acute appendicitis, the patient underwent
laparoscopy where the cecal partial necrosis was discovered. Necrotic area of cecum was excised using two endoscopic
cutters and laparoscopic appendectomy was performed. Pathologist report showed thrombosis of vessels and necrosis
of entire cecal wall. The patient completely recovered without any surgical complications. This is the first case of
partial cecum necrosis laparoscopicaly managed and with a partial cecal resection only.
Ključne riječi
cecal necrosis; laparoscopy; partial cecal resection
Hrčak ID:
27681
URI
Datum izdavanja:
13.12.2006.
Posjeta: 1.699 *