Paediatric caecal diverticulitis: a rare but important mimic of acute appendicitis

Rayan Mourad; Kim-Chi Phan-Thien

doi:10.18203/2349-2902.isj20260463

Authors

Rayan Mourad Department of Surgery, St George Hospital, Kogarah, New South Wales, Australia; St George and Sutherland Clinical Campus, School of Clinical Medicine, UNSW Medicine and Health, Sydney, New South Wales, Australia https://orcid.org/0009-0007-1122-8659
Kim-Chi Phan-Thien Department of Surgery, St George Hospital, Kogarah, New South Wales, Australia; St George and Sutherland Clinical Campus, School of Clinical Medicine, UNSW Medicine and Health, Sydney, New South Wales, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20260463

Keywords:

Paediatric, Caecal, Diverticulitis

Abstract

Caecal diverticulitis is a rare cause of right lower quadrant pain, hence is frequently misdiagnosed as acute appendicitis. Diverticula in the caecum are usually solitary, considered to be congenital and more common in people of Asian descent. This case report highlights the need to consider caecal diverticulitis as a potential cause of right lower quadrant pain in paediatric populations, especially in those of Asian descent.

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References

Cristaudo A, Pillay P, Naidu S. Caecal diverticulitis: Presentation and management. Ann Med Surg. 2015;4(1):72-5. DOI: https://doi.org/10.1016/j.amsu.2015.02.002

Lee ZW, Albright EA, Brown BP, Markel TA. Congenital cecal diverticulitis in a pediatric patient. J Pediat Surg Case Rep. 2021;72:101929. DOI: https://doi.org/10.1016/j.epsc.2021.101929

Karatepe O, Gulcicek OB, Adas G, Battal M, Ozdenkaya Y, Kurtulus I, et al. Cecal diverticulitis mimicking acute Appendicitis: a report of 4 cases. World J Emerg Surg. 2008;3(1):16. DOI: https://doi.org/10.1186/1749-7922-3-16

Li X, Liu W, Zhang S, Liu H. Diagnosis and treatment experience of cecal diverticulitis in six pediatric patients. Front Pediat. 2024;12:1478296. DOI: https://doi.org/10.3389/fped.2024.1478296

Kyziridis DS, Parpoudi SN, Antoniou ND, Konstantaras DC, Moysidis MG, Christoforidis EC, et al. Cecal diverticulitis is a challenging diagnosis: a report of 3 cases. Am J Case Rep. 2015;16:206. DOI: https://doi.org/10.12659/AJCR.892848

Uhe I, Meyer J, Viviano M, Naiken S, Toso C, Ris F, Buchs NC. Caecal diverticulitis can be misdiagnosed as acute appendicitis: a systematic review of the literature. Colorectal Dis. 2021;23(10):2515-26. DOI: https://doi.org/10.1111/codi.15818

Vallejo FA, Escoba GE, Salazar GD. Solitary cecal diverticulitis in a pediatric case: A challenging diagnosis. Turkish J Ped Surg. 2025;39(1):34-8. DOI: https://doi.org/10.62114/JTAPS.2025.77

Koshy RM, Abusabeib A, Al-Mudares S, Khairat M, Toro A, Di Carlo I. Intraoperative diagnosis of solitary cecal diverticulum not requiring surgery: is appendectomy indicated? World J Emerg Surg. 2016;11:1. DOI: https://doi.org/10.1186/s13017-015-0057-y