Hey, this is an English text. I want you to translate it into the Tunisian dialect. Please follow these steps:
1. Translate step by step and highlight differences between Tunisian dialect and Modern Standard Arabic.
2. Highlight sections you are confident translating into the Tunisian dialect.
Translate this text into the Tunisian dialect, focusing on capturing the essence of the language nuances:

Introduction ============ Ischemic colitis usually results from atherosclerosis and low blood flow. Acute colonic ischemia is a common cause of colitis in the elderly, in whom colonic ischemia is a cause of morbidity. However, ischemic colitis involving the cecum alone is quite rare, with only a few case reports in the literature. Isolated ischemic involvement of the right colon has been reported with increasing frequency, particularly in association with shock \[[@B1],[@B2]\]. Cecal infarction presents with right lower quadrant pain, and therefore may resemble acute appendicitis. As this variant of ischemic colitis is less common, it may not be considered in the differential diagnosis of right lower quadrant pain. Given the possibility of cecal perforation, an early diagnosis and surgical treatment are very important factors in such cases. Little is known about postoperative ischemic necrosis of the remaining colon after surgical treatment of isolated cecal necrosis. Here, we report four patients with isolated cecal necrosis mimicking acute appendicitis seen at our institution within a 4-year period. Case presentation ================= This series is a retrospective analysis of isolated cecal necrosis cases diagnosed and treated at Inonu University Turgut Ozal Medical Center between July 2004 and June 2008. After a detailed examination of the medical records, four patients with confirmed diagnoses of isolated cecal necrosis were identified. Data regarding their age, sex, clinical presentation, comorbid diseases, imaging findings, treatment modality, and follow-up were reviewed. The results of hematological and biochemical analyses were evaluated, including the hemoglobin level, white blood cell count, lactate dehydrogenase, and alkaline phosphatase, as well as plain X-rays, abdominal ultrasound (US), and computed tomography (CT) of the abdomen. The patients consisted of two men and two women with a mean age at diagnosis of 59 years (range 46-68). The patients were Turkish ethnic origin. All patients presented at the emergency room with acute abdominal pain and had symptoms of abdominal pain, nausea, and vomiting. Acute appendicitis was considered in all of the patients pre-operatively. The medical histories of three patients revealed end-stage renal failure requiring hemodialysis. The other patient had chronic obstructive pulmonary disease. The patients\' laboratory findings and clinical characteristics are shown in Table [1](#T1){ref-type="table"}. ###### Patient characteristics and laboratory findings Age, sex Comorbid diseases WBC Hb (g/dL) LDH (U/L) CK (U/L) Treatment Follow-up (months) ---------- ------------------- -------- ----------- ----------- ---------- --------------------- -------------------- 58, F CRI, DM, HT 23,700 11.1 618 238 Right hemicolectomy 17 68, F CRI 16,400 16.5 323 647 Right hemicolectomy 19 64, M COPD 19,400 12.1 911 50 Right hemicolectomy 25 46, M CRI 21,000 13.6 262 719 Cecum resection 37 CRI, chronic renal insufficiency; DM, diabetes mellitus; HT, hypertension; COPD, chronic obstructive pulmonary disease; WBC, white blood cell count; Hb, hemoglobin; LDH, lactate dehydrogenase; CK, Creatine Kinase. There were no specific signs in the patients\' pre-operative plain X-rays. Abdominal US revealed free intra-abdominal fluid in one patient, while the results of abdominal US were normal in the other patients. Only one patient underwent CT, the results of which were normal. In one patient, a