Acute typhlitis caused by a caecal faecolith

Publication date: Available online 1 July 2016
Source:Arab Journal of Gastroenterology
Author(s): Saleh Abdel-Kader, Suhail Al-Salam, Fikri M. Abu-Zidan
Isolated acute typhlitis caused by a caecal faecolith is extremely rare. Hereby we report such a case. A 30-year-old man presented clinically as acute appendicitis. During open surgery, an inflamed caecal mass was found. A limited colectomy including the mass and grossly health margins was performed. Histopathological examination confirmed that acute typhlitis was caused by an impacted caecal faecolith. The appendix was normal. Faecolith is an extremely rare cause of acute inflammation of the caecum presenting as a mass which is usually treated by limited right hemicolectomy.



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