Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound

Cecal perforation is an uncommon phenomenon in a pediatric population. It has been linked to a number of underlying medical conditions, which may result in focal inflammation or relative ischemia including hematologic malignancy, infection, and inflammatory bowel disease. We present an otherwise hea...

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Main Authors:	Calista Harbaugh, Sabina Siddiqui, Cabrini Sutherland, Raja Rabah-Hammad, Ronald Hirschl
Format:	Article
Language:	English
Published:	Elsevier 2016-08-01
Series:	Journal of Pediatric Surgery Case Reports
Subjects:	Surgery Intestinal perforation Histology
Online Access:	http://www.sciencedirect.com/science/article/pii/S2213576616300987

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spelling	doaj-0350670fb4a24d81b585d9deb3dbe8012020-11-24T23:01:35ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662016-08-0111C283010.1016/j.epsc.2016.05.016Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasoundCalista Harbaugh0Sabina Siddiqui1Cabrini Sutherland2Raja Rabah-Hammad3Ronald Hirschl4Section of Pediatric Surgery, Department of Surgery, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, MI, USASection of Pediatric Surgery, Department of Surgery, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, MI, USASection of Pediatric Surgery, Department of Surgery, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, MI, USADepartment of Pathology, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, MI, USASection of Pediatric Surgery, Department of Surgery, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, MI, USACecal perforation is an uncommon phenomenon in a pediatric population. It has been linked to a number of underlying medical conditions, which may result in focal inflammation or relative ischemia including hematologic malignancy, infection, and inflammatory bowel disease. We present an otherwise healthy 16-year-old male diagnosed with acute uncomplicated appendicitis on ultrasound, who was found to have cecal perforation with normal appendix intraoperatively, ultimately requiring ileocectomy. With this report, we aim to present the numerous pathophysiologic etiologies of cecal perforation, and to promote a comprehensive differential diagnosis despite the clinical and radiologic findings consistent with uncomplicated appendicitis.http://www.sciencedirect.com/science/article/pii/S2213576616300987SurgeryIntestinal perforationHistology
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Calista Harbaugh Sabina Siddiqui Cabrini Sutherland Raja Rabah-Hammad Ronald Hirschl
spellingShingle	Calista Harbaugh Sabina Siddiqui Cabrini Sutherland Raja Rabah-Hammad Ronald Hirschl Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound Journal of Pediatric Surgery Case Reports Surgery Intestinal perforation Histology
author_facet	Calista Harbaugh Sabina Siddiqui Cabrini Sutherland Raja Rabah-Hammad Ronald Hirschl
author_sort	Calista Harbaugh
title	Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound
title_short	Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound
title_full	Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound
title_fullStr	Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound
title_full_unstemmed	Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound
title_sort	case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound
publisher	Elsevier
series	Journal of Pediatric Surgery Case Reports
issn	2213-5766
publishDate	2016-08-01
description	Cecal perforation is an uncommon phenomenon in a pediatric population. It has been linked to a number of underlying medical conditions, which may result in focal inflammation or relative ischemia including hematologic malignancy, infection, and inflammatory bowel disease. We present an otherwise healthy 16-year-old male diagnosed with acute uncomplicated appendicitis on ultrasound, who was found to have cecal perforation with normal appendix intraoperatively, ultimately requiring ileocectomy. With this report, we aim to present the numerous pathophysiologic etiologies of cecal perforation, and to promote a comprehensive differential diagnosis despite the clinical and radiologic findings consistent with uncomplicated appendicitis.
topic	Surgery Intestinal perforation Histology
url	http://www.sciencedirect.com/science/article/pii/S2213576616300987
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Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound

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