Clinical characteristics of 12 cases of appendiceal diverticulitis: a comparison with 378 cases of acute appendicitis

Yamana, Ippei; Kawamoto, Shunji; Inada, Kazuo; Nagao, Shuji; Yoshida, Takashi; Yamashita, Yuichi

doi:10.1007/s00595-012-0152-6

Cited by 51 publications

(41 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These patients have higher C-reactive protein levels but lower white blood cell counts than those with acute appendicitis (9). Pain caused by this entity is often intermittent and has a longer duration.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

A Rare but Distinctive Cause of Acute Abdomen: Appendiceal Diverticulitis

Seker

Şeker

Kahramanca

et al. 2013

The Journal of Emergency Medicine

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 97%

“…The thinned wall makes this diverticulum perforate early in the presence of acute inflammation. The perforation rate is higher in appendiceal diverticulitis (33.3% vs. 9.8%) than in acute appendicitis (9). Appendiceal diverticulosis demonstrates a significant association with obstructing or incidental appendiceal neoplasms.…”

Section: Discussionmentioning

confidence: 98%

A Rare but Distinctive Cause of Acute Abdomen: Appendiceal Diverticulitis

Seker

Şeker

Kahramanca

et al. 2013

The Journal of Emergency Medicine

View full text Add to dashboard Cite

“…Features that should raise the clinical suspicion for DA include a prolonged course – up to two weeks – of right-sided lower abdominal pain which may be preceded by a chronic history of multiple previous pain episodes [10] . Laboratory studies tend to support a history of chronic inflammation with comparatively lower white blood cell counts and higher CRP levels [3], [5], [9] . Furthermore, patients presenting with DA are often older than 30 years which is outside of the typical age range for appendicitis [1].…”

Section: Discussionmentioning

confidence: 99%

A case report describing diverticulosis of the appendix presenting as acute appendicitis

Khan

Siddeswarappa

Khan

2016

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

HighlightsA case is described of a patient with diverticulosis of the appendix (DA) which was initially diagnosed as early acute appendicitis.The clinical characteristics of DA are described and a case is made for better diagnosis prior to surgery.Improving preoperative diagnosis of DA will require higher indices of clinical suspicion based on patient presentations and better identification by diagnostic imaging (CT and ultrasound).

show abstract

“…According to these reports, the rate of perforation was 35.4 %, which was comparatively higher than the 27 % reported by Badr et al in 2009 13) . The most recent report documented that the perforation rate was higher in appendiceal diverticulitis than in acute appendicitis (33.3 % vs. 9.8 % ; p = 0.009) 16) .…”

Section: Discussionmentioning

confidence: 99%

Appendiceal Diverticulosis: A Clinicopathological Analysis of 12 Cases

Yoshida

Tanaka²,

Akagi

et al. 2013

JJCS

View full text Add to dashboard Cite

Purpose : Perforation occurs more often with appendiceal diverticulosis than with acute appendicitis ; thus, confirming a diagnosis of appendiceal diverticulosis is critical. We compared the clinicopathological features of 12 appendiceal diverticulosis cases (3 confirmed preoperatively) and 321 acute appendicitis cases (excluding catarrhal) and investigated the pathological features specific to appendiceal diverticulosis. Methods : Over a 7.5-year period, 12 of 392 patients with appendiceal disease were diagnosed with appendiceal diverticulosis (3 confirmed preoperatively). Findings from physical examination, abdominal ultrasonography and/or computed tomography, surgery, and histopathology were statistically analyzed. Results : Onset age was significantly later for appendiceal diverticulosis than for acute appendicitis (p = 0.0176) (average, 54.3 years). Perforation occurred more frequently with appendiceal diverticulosis (p < 0.001). There were no significant gender differences. Moreover, 11 patients had appendiceal diverticulitis. The average preoperative white blood cell count and C-reactive protein levels were 11929/µL and 7.15 mg/dL, respectively. Appendectomy (6 cases), partial cecal resection (4), and ileocecal resection (2) were performed. Pseudodiverticula were Received : May 29, 2013/Accepted : June 8, 2013 Correspondence to : Takefumi Yoshida Department of Surgery, Social Insurance Tagawa Hospital, 10-18 Kamihonmachi, Tagawa City, Fukuoka 826-8585, Japan confirmed histopathologically in all cases (mesenteric, 10 ; bilatera l, 2). Six patients suffered perforations. The average number of diverticula was 2.5. Conclusions : Excision is recommended when appendiceal diverticulosis is suspected or the presence of acute appendicitis is unclear.

show abstract

Clinical characteristics of 12 cases of appendiceal diverticulitis: a comparison with 378 cases of acute appendicitis

Abstract: Appendiceal diverticulitis is more likely to perforate over the progression of the clinical course, which would mandate appendectomy when appendiceal diverticulitis is detected by US, even if the patient has no severe abdominal pain.

Cited by 51 publications

References 13 publications

A Rare but Distinctive Cause of Acute Abdomen: Appendiceal Diverticulitis

A Rare but Distinctive Cause of Acute Abdomen: Appendiceal Diverticulitis

A case report describing diverticulosis of the appendix presenting as acute appendicitis

Appendiceal Diverticulosis: A Clinicopathological Analysis of 12 Cases

Contact Info

Product

Resources

About