THE RARE PATHOLOGY OF THE CECUM. LITERATURE REVIEW

Abstract

Objectives. The purpose of the article was to analyze data from existing literature sources about the rare pathology of the cecum, which requires surgical treatment.

Material and methods. Publications have been studied, that present information about the rare pathology of the cecum, the clinical picture and the tactics of surgical treatment of various rare pathologies of the cecum with and without complications. Online databases Google Scholar and PubMed were used as sources for identification of international publications. The keywords used in the search were: "rare pathology of cecum", "cecum mass", "rare cecum inflammatory disease", "cecum bleeding", "cecum acute surgical disease".

Results. We identified 58 scientific publications that reveal current information about the clinical picture, methods of investigation and treatment of acute appendagitis, acute diverticulitis, necrosis of the cecum wall, cecum volvulus, cecum endometriosis, neuropenic typhlitis, cecum intususception, varicose veins and trauma of the cecum, dermoid cyst of the cecum, Crohn's disease.

Conclusions. In cases where the clinical picture of acute appendicitis does not correspond to the morphological one and the diverticulum Meckel is missing at the revision of the ileum a thorough examination is necessary to exclude acute appendagitis and deverticulitis of the cecum wall, typhlitis, intussusception and necrosis of the cecum wall, spontaneous cecum perforation. Lower gastrointestinal bleeding of unidentified etiology requires diagnostic colonoscopy to rule out colon tumors and rarer sources of lower gastrointestinal bleeding: varicose veins and endometriosis of cecum. Dermoid cyst, cecum intussusception, typhlitis, Crohn's disease of the ileocecal region can mimic appendicular mass and cecum neoplasms. Pain in the right iliac region in a patient with hematologic cancer associated with neutropenia will be caused by neutropenic typhlitis, and diagnostic laparoscopy will confirm the diagnosis.