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Isolated cecal necrosis: our surgical experience and a review of the literature
(Alpay Azap, 2014) Çakar, Ekrem; Ersöz, Feyzullah; Bag, Murat; Bayrak, Savaş; Çolak, Şükrü; Bektaş, Hasan; Güneş, M. Emin; Çakar, Emel
Objective: Isolated cecal necrosis is a rare cause of ischemic colitis. Ischemic colitis is further divided into two groups: occlusive mesenteric ischemia and non-occlusive mesenteric ischemia. The aim of this study was to investigate the cause of isolated cecal necrosis. Material and Methods: We operated on 3 male and 3 female patients with a mean age of 60.3±18.7 (38-85) years with a preliminary diagnosis of acute appendicitis between 2007 and 2012. Four of these patients were on hemodialysis, 1 patient had an aortofemoral bypass, and 1 patient had coronary artery disease with atrial fibrillation. Results: The diagnosis was made intraoperatively in all cases. Five patients died postoperatively. One patient survived. Conclusion: In the case of right lower quadrant pain, the possibility of isolated cecal necrosis should be kept in mind, especially in patients on hemodialysis, elderly patients with diabetes, and heart disease; surgical strategies should be planned accordingly, and it should be understood that a high mortality rate will be inevitable.