Conservative management of cecal diverticulitis mimicking acute appendicitis in a pregnant woman.

Choi, Won Ku; Song, Yun Kyung; Kim, Sun Young; Rheu, Chul Hee; Jeong, Young Ju; Chae, Hee Suk

doi:2012.55.12.986

Obstet Gynecol Sci > Volume 55(12); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(12):986-989.
DOI: https://doi.org/10.5468/KJOG.2012.55.12.986 Published online December 18, 2012.

Conservative management of cecal diverticulitis mimicking acute appendicitis in a pregnant woman.

Won Ku Choi, Yun Kyung Song, Sun Young Kim, Chul Hee Rheu, Young Ju Jeong, Hee Suk Chae

Department of Obstetrics and Gynecology, Chonbuk National University Medical School, Jeonju, Korea. binnayokr@jbnu.ac.kr

Abstract

A 24-year-old pregnant woman was referred for further evaluation and treatment of the right lower quadrant pain at 19+1 weeks gestational age. The patient was diagnosed to be acute appendicitis and underwent laparoscopic surgery. However, an inflamed solitary cecal diverticulum was found during surgery. After a routine appendectomy, cecal diverticulitis was conservatively treated with postoperative antibiotics without signs of peritonitis. To date, most of the non-pregnant women with cecal diverticulitis have been managed surgically. Our case indicates that a pregnant patient with cecal diverticulitis could be managed medically during pregnancy.

Key Words: Pregnancy, Cecal diverticulitis, Conservative treatment