| Title | Benign Solitary Cecal Ulcer Syndrome: Series of Eight Cases and Literature Review. | | Author(s) | Ong J, Lim JF, Lim HK, Eu KW | | Institution | Department of Colorectal Surgery, Singapore General Hospital, Outram Road, 169608, Singapore, jjongkp@gmail.com. | | Source | Dis Colon Rectum 2008 Jul 8. | | Abstract | PURPOSE: Solitary, or sometimes termed idiopathic, cecal ulcer syndrome is a condition rarely seen in clinical practice. This study describes the clinical experience with a series of 8 patients with histology consistent with an idiopathic cecal ulcer.
METHODS: A prospectively collected database of patients undergoing colonoscopy or surgery with histology reporting a solitary cecal ulcer from 1999 to 2004 was reviewed. Patients with known carcinoma of the colon, cytomegalovirus infection, amebiasis, and inflammatory bowel disease were excluded. Patients who were immunosuppressed or had a history of nonsteroidal anti-inflammatory drug use were also excluded.
RESULTS: Benign ulcer at the cecum was found in eight patients. None of the patients had a history of nonsteroidal anti-inflammatory use. The most common symptoms were hematochezia and right iliac fossa pain. Five patients underwent surgery to treat the condition and three patients were treated with antibiotics.
CONCLUSIONS: When presented with a patient with vague right lower quadrant abdominal pain, the diagnosis of cecal ulcer should be considered. Solitary cecal ulcer syndrome should also be included in the differential diagnosis when CT imaging demonstrates diffuse or eccentric wall thickening with adjacent fat stranding. The definitive diagnosis of a solitary cecal ulcer can only be made pathologically. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 18607549 |
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