Presentation
particularly when the diagnosis is unclear Partial caecectomy can easily be performed laparoscopically in cases such as this, thus avoiding the need for laparotomy or more extensive resection Case presentation A 21-year-old woman presented to the emergency [ncbi.nlm.nih.gov]
Arch Surg 98:171-174, 1969 Google Scholar Lospinuso M, Chang F, Moqtaderi F, Bloom ND: Benign ulceration of the cecum presenting with massive hemorrhage: report of a case and review of the literature. [link.springer.com]
The most common presenting symptoms were haematochezia and right-sided abdominal pain. Histological findings included ulceration sharing some features of solitary rectal ulcer syndrome, but with differences to suggest a different aetiology. [pubmed.ncbi.nlm.nih.gov]
Entire Body System
- Asymptomatic
J Clin Gastroenterol 8:605, 1986 Google Scholar Yoshikawa I, Murata I, Yano K, Kume K, Otsuki M: Asymptomatic amebic colitis in a homosexual man. [link.springer.com]
Endoscopic features and clinical course of patients with asymptomatic cecal ulcers. Lin YC, Liao SC, Chang CH, Chen CC, Lin WT, Chiu FW, Ko CW. Lin YC, et al. BMC Gastroenterol. 2022 Jun 24;22(1):309. doi: 10.1186/s12876-022-02383-x. [pubmed.ncbi.nlm.nih.gov]
Cardiovascular
- Thrombosis
Am J Roentgenol 126:394-405, 1976 Google Scholar Hardie IR, Nicoll P: Localized ulceration of the caecum due to microcirculatory thrombosis. A new concept of non-specific ulceration of the caecum. [link.springer.com]
Skin
- Ulcer
Cameron JR: Simple non-specific ulcer of the cecum. Br J Surg 26:526–530, 1939 Google Scholar 4. Barlow D: “Simple” ulcers of the cecum, colon and rectum. Br J Surg 28:575–581, 1941 Google Scholar 5. Katifi S: Simple non-specific ulcer of the cecum. [link.springer.com]
Histological findings included ulceration sharing some features of solitary rectal ulcer syndrome, but with differences to suggest a different aetiology. [pubmed.ncbi.nlm.nih.gov]
Idiopathic cecal ulcer: CT findings. AJR Am J Roentgenol 1989;153:761–3. 10.2214/ajr.153.4.761 [PubMed] [CrossRef] [Google Scholar] 7. Brodey PA, Hill RP, Baron S. Benign ulceration of the cecum. [ncbi.nlm.nih.gov]
Workup
Colonoscopy
- Colonic Ulcer
Smithwick W, Anderson RP, Ballinger WF: Non-specific ulcer of the colon. Arch Surg 97:133–138, 1968 Google Scholar 9. Butsh JL, Dockerty MB, McGill DB, Judd ES: “Solitary” non-specific ulcers of the colon. [link.springer.com]
Colonic ulceration associated with nonsteroidal anti-inflammatory drugs. Report of three cases. Kaufman HL, Fischer AH, Carroll M, Becker JM. Kaufman HL, et al. Dis Colon Rectum. 1996 Jun;39(6):705-10. doi: 10.1007/BF02056956. [pubmed.ncbi.nlm.nih.gov]
Although such lesions may occur in all parts of the colon, more than 50% of solitary colonic ulcers are found in the caecum and ascending colon,4 and these are typically located 2 cm from the ileocaecal valve on the anterior, antimesenteric wall.2 The [ncbi.nlm.nih.gov]
- Colitis
J Clin Gastroenterol 8:605, 1986 Google Scholar Yoshikawa I, Murata I, Yano K, Kume K, Otsuki M: Asymptomatic amebic colitis in a homosexual man. [link.springer.com]
The differential diagnose of solitary caecal ulcer may include bacterial, viral, fungal and parasitic infections, and inflammatory disease such as Crohn's colitis. Malignancy is a common differential, as is caecal diverticulitis or appendicitis. [ncbi.nlm.nih.gov]
Treatment
Conservative treatment is invariably fatal. The operative mortality is about 40%. Primary resection with re-establishment of the continuity of the bowel is the procedure of choice. [link.springer.com]
Treatment Diagnostic laparoscopy was performed for presumed appendicitis. This revealed an abnormal cream-coloured mass of approximately 3×3×3 cm on the anterior surface of the caecum. The appendix appeared normal. [ncbi.nlm.nih.gov]