{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T10:04:52Z","timestamp":1766311492457,"version":"build-2065373602"},"reference-count":18,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:00:00Z","timestamp":1738713600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Isolated cecum necrosis (ICN) is a rare disease and there are few reports on it in the literature. We retrospectively analyzed the patients with acute abdomen who had ICN, in terms of etiology, demographic findings, surgery, and prognosis to determine the best treatment approach. Methods: Seven patients with per-operative diagnosis of isolated cecal necrosis were included in the study. Age, gender, comorbidities, symptoms, laboratory data, imaging modalities, time from symptoms to surgery, surgical procedure, hospital stay, morbidity, and mortality were retrospectively analyzed. Results: The median age of the patients and the F\/M ratio were 61 years and 2\/5, respectively. The most common comorbidity was chronic renal failure, followed by hypertension, diabetes mellitus, and coronary artery disease. The median time from symptom onset to surgery was 1 day. The ileocolic anastomosis was performed in 4 patients and terminal ileostomy in three patients. The morbidity and mortality rates were 28.5% and 14.3%, respectively. The median length of hospital stay was 12 days. Conclusions: ICN should be suspected in elderly patients with comorbidities presenting to the emergency department with an acute abdomen. Computed tomography is an important diagnostic tool. Diagnostic laparoscopy is a good option for definitive diagnosis and end ileostomy is better than anastomosis in patients with bleeding tendency or hypotensive patients with chronic renal failure on dialysis, coronary artery disease, and in the presence of purulent peritonitis to reduce morbidity and mortality.<\/jats:p>","DOI":"10.3390\/jcm14031019","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T04:47:31Z","timestamp":1738817251000},"page":"1019","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Isolated Cecal Necrosis as a Cause of Acute Abdomen"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4588-0112","authenticated-orcid":false,"given":"Oguzhan","family":"Sunamak","sequence":"first","affiliation":[{"name":"Department of General Surgery, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, 34668 Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7616-4798","authenticated-orcid":false,"given":"Kadir","family":"Corbaci","sequence":"additional","affiliation":[{"name":"Mustafa Selahattin \u00c7etinta\u015f State Hospital, 11500 Bilecik, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cebrail","family":"Akyuz","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, 34668 Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9903-6246","authenticated-orcid":false,"given":"Mehmet Onur","family":"Gul","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Health Sciences, Gaziantep City Hospital, 27470 Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3065-3585","authenticated-orcid":false,"given":"Evren","family":"Besler","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, 34668 Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3095-2195","authenticated-orcid":false,"given":"Turgut","family":"Donmez","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Health Sciences, Bakirkoy Sadi Konuk Training and Research Hospital, 34147 Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feza","family":"Ekiz","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Istanbul Medical Faculty, University of Istanbul, 34093 Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kohga, A., Yajima, K., Okumura, T., Yamashita, K., Isogaki, J., Suzuki, K., Komiyama, A., and Kawabe, A. 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Proceedings of the 23th National Surgery Congress, Antalya, Turkey."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/3\/1019\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:27:34Z","timestamp":1760027254000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/3\/1019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,5]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["jcm14031019"],"URL":"https:\/\/doi.org\/10.3390\/jcm14031019","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2025,2,5]]}}}