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(Radiology. 2000;214:513-516.)
© RSNA, 2000

Gastrointestinal Imaging

Isolated Infarction of the Cecum: CT Findings in Two Patients1

A. Michael Simon, MD, Bernard A. Birnbaum, MD and Jill E. Jacobs, MD

1 From the Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104. Received February 24, 1999; revision requested April 28; revision received May 25; accepted August 23. Address reprint requests to B.A.B. (e-mail: birnbaum@rad.upenn.edu).

Colonic ischemia isolated to the cecum is a rare entity. The authors evaluated two patients who underwent computed tomography (CT) because appendicitis was suspected at clinical examination. CT findings were suggestive of isolated cecal ischemia or infarction. Surgical-histopathologic findings helped confirm the presumptive CT diagnoses. Isolated cecal infarction should be included in the differential diagnosis of acute right lower quadrant pain.

Index terms: Abdomen, CT, 70.12115 • Colon, abnormalities, 752.795 • Colon, infarction, 752.799 • Colon, ischemia, 752.799




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