Unspecific cecal ulcer in a patient undergoing hemodialysis for chronic renal failure

We report a 65 years old female undergoing hemodialysis, presenting with in tense pain in the lower right quadrant and moderate hematochezia. Since sym ptoms did not abate after an appendectomy, a colonoscopy and barium enema w ere performed, whose results suggested an advanced cecal carcinoma. Biopsie s were negative for cancer. A new surgical abdominal exploration disclosed a cecal inflammatory and transmural lesion. A right colectomy was performed and the patient had a satisfactory postoperative evolution. Pathological s tudy of the surgical piece showed a six cm perforated profound ulceration a nd a two cm ulcer. Both had precise limits. Unspecific cecal ulcers are rar e entities that must be born in mind in the differential diagnosis of abdom inal pain or hematochezia, specially in patients undergoing chronic hemodia lysis.