Nekrotizirajući divertikulitis cekuma vrlo je rijetko stanje koje se klinički prezentira bolnošću u desnom donjem kvadrantu trbuha, sliči akutnoj upali crvuljka, a liječi se kirurški.
Prikazan je slučaj 40-godišnjeg muškarca s kliničkom slikom bolova u desnom donjem kvadrantu trbuha, visokim upalnim parametrima i ultrazvučno dokazanom kolekcijom tekućeg sadržaja ileocekalno uz uredan crvuljak. Intraoperativno je pronađen sekundarno upaljen crvuljak i nekrotična tvorba cekuma. Nakon ex tempore patohistološke dijagnoze koja je isključila malignitet, napravljene su divertikulektomija i apendektomija. Naknadna patohistološka dijagnostika verificira nekrotizirajući divertikulitis cekuma. Ultrazvučne i endoskopske kontrole pokazuju uredan nalaz.Necrotizing cecal diverticulitis is an extremely rare condition. Its clinical presentation involves pain in the right lower abdominal quadrant, it is similar to acute appendicitis and should be treated surgically.
We present a case of a 40-year-old male with clinical presentation of pain in the right lower abdominal quadrant, high inflammatory parameters and collection of liquid content ileocecally visible by ultrasound, with non-symptomatic appendix. Intraoperatively, secondary inflammation of the appendix was found along with necrotic cecum. Following ex tempore pathohistological diagnosis, which excluded the possibility of malignancy, diverticulectomy and appendectomy were performed. Subsequent pathohistological diagnosis verified necrotizing cecal diverticulitis. Follow up included ultrasound and endoscopic check ups resulting in an uneventful postoperative course
