Naslov
Partial cecal necrosis treated by laparoscopic partial cecal resection

Autori
Perko, Zdravko ; Bilan, Kanito ; Vilović, Katarina ; Družijanić, Nikica ; Kraljević, Damir ; Juričić, Joško ; Krnić, Dragan ; Sršen, Darko ; Pogorelić, Zenon ; Tomić, Snježana

Izvornik
Collegium Antropologicum (0350-6134) 30 (2006), 4; 937-939

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
cecal necrosis; laparoscopy; partial cecal resection

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 staplers 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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA