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 |
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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 |
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