Cecal diverticulitis: a complex medical challenge

Abstract

Background: cecal diverticulitis is a rare disease in western countries. It is clinically indistinguishable from acute appendicitis.
Objetive: to show outcome with different therapeutic approaches.
Material and methods: we present five cases of cecal diverticulitis treated at our institution between January 2013 and December 2015. Retrospective review of medical records and images. Review of the literature.
Results: five patients were included. Four cases required surgical treatment while one patient resolved with medical treatment.
Conclusions: Although it is rare, cecal diverticulitis must be considered within the differential diagnoses in the face of abdominal pain located in the right iliac fossa and non-categorical imaging of acute appendicitis.