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Case Report
Stercoral perforation of a cecal diverticulum: A rare presentation
1 MChD, BMedSc, General Surgery Registrar, Acute Surgical Unit, The Canberra Hospital, Yamba Drive, Garran, ACT 2605, Australia
2 MBBS, MD, MRCS, FRACS, General Surgery Fellow, Acute Surgical Unit, The Canberra Hospital, Yamba Drive, Garran, ACT 2605, Australia
Address correspondence to:
Natalie Quarmby
Acute Surgical Unit, The Canberra Hospital, Yamba Drive, Garran, ACT 2605,
Australia
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Article ID: 100109Z12NQ2022
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How to cite this article
Quarmby N, Balasooriya J. Stercoral perforation of a cecal diverticulum: A rare presentation. J Case Rep Images Surg 2022;8(2):26–30.ABSTRACT
Introduction: Right-sided diverticular disease, including cecal diverticulum, is a relatively uncommon occurrence when compared to left-sided diverticular disease, particularly in Western countries. Even more rare than this is the perforation of these diverticulum due to stercoral colitis.
Case Report: We report the case of an 83-year-old man who presented to the Emergency Department with a relatively brief history of periumbilical and right lower quadrant pain, associated with nausea and low-grade fevers, and a computed tomography (CT) scan demonstrating perforation of a large cecal diverticulum requiring acute surgical management.
Conclusion: Perforation of a cecal diverticulum is rare, particularly when due to stercoral colitis, and can be often misdiagnosed. It should be considered in the context of the systemically unwell older patient with a history of constipation.
Keywords: Cecal diverticulum, Right-sided diverticular disease, Stercoral perforation
SUPPORTING INFORMATION
Author Contributions
Natalie Quarmby - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Janaka Balasooriya - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Natalie Quarmby et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
