Diverticular disease of the vermiform appendix and its clinical relevance

Beswick, J.; Desai, Shashank

doi:10.1111/j.1440-1673.1994.tb00194.x

Cited by 7 publications

(5 citation statements)

References 4 publications

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“…6,8 The detection rate is generally lower than that of appendicitis probably due to poor barium enema filling, which is secondary to obstruction or stenosis. 19,23,30 Diverticula can be very small, and the neck of the diverticulum can be obstructed, for example, by a fecalith, thus preventing the filling of barium enema. Others claim that diverticulitis can be differentiated from the usual appendicitis by CT, however with a 50% false positive rate.…”

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Diverticulosis and Diverticulitis of the Appendix

2009

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Diverticulosis of the appendix is a relatively rare pathological finding. The majority are acquired pseudodiverticula. True congenital diverticula are very rare. Appendiceal diverticulosis is usually an incidental finding and clinically asymptomatic. When symptomatic, it is usually complicated by acute or chronic diverticulitis with or without acute appendicitis. It presents with atypical abdominal signs and symptoms, mostly in adult males. Appendiceal diverticulitis is a distinct entity with several clinical and pathological differences from acute appendicitis. It has a more rapid progression to perforation and a higher rate of mortality. Therefore, appendiceal diverticulitis should be considered in the clinical differential diagnosis, especially in adult males with chronic abdominal pain. Appendiceal diverticulosis demonstrates a significant association with obstructing or incidental appendiceal neoplasms. It may play an important role in the development of pseudomyxoma peritonei, which is associated with appendiceal mucinous tumors. Therefore, meticulous gross examination and thorough histological examination of the entire appendicectomy specimen are essential. When discovered either by preoperative radiological investigations or during an exploratory operation, prophylactic appendicectomy is advocated to prevent the risk of complications and to rule out the possibility of a coexisting neoplasm.

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Diverticulosis and Diverticulitis of the Appendix

2009

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“…6 Both types are reported to be more common in males, although the gender of patients in several reviews has not been recorded. 8 Barium enema examination and ultrasound scanning can also demonstrate the condition, but although the association between sigmoid and appendicular diverticulosis is high, the frequency of radiologic diagnosis is lower than expected, 9 probably because of underfilling secondary to luminal obstruction or stenosis. Heightened awareness of the observer can increase the frequency of reported cases, which may also account for the wide variations in the estimation of prevalence.…”

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confidence: 99%

Diverticular Abscess of the Appendix

Simpson¹,

Lobo²,

Spiller³

et al. 2003

Diseases of the Colon &Amp; Rectum

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“…It is important to note that acquired diverticula have a thin wall, which contributes to perforation. Actually, the incidence of perforation in appendiceal diverticulitis is four times greater than in usual appendicitis (8) . The appendiceal diverticulitis is rarely identified preoperatively by imaging.…”

Section: Case Reportmentioning

confidence: 99%

“…The appendiceal diverticulitis is rarely identified preoperatively by imaging. Some case reports showed that double-contrast barium enema can demonstrate diverticulosis (3,8,9) , but not diverticulitis. The computed tomography may overlook the diverticula because of their small size.…”

Section: Case Reportmentioning

confidence: 99%

“…Some cases will develop complications as perforation and abscess (6) . Most patients will present atypical forms of appendicitis: the patient is over 30 years old, the abdominal pain is milder, the clinical course is longer and there is a history of previous attacks (7,8) . The patient does not seek medical care often until the symptoms become more pronounced, increasing the risk of perforation.…”

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confidence: 99%

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Perforated diverticulitis of the appendix: ultrasonographic diagnosis

Lourenço

Pinho

Schraibman

et al. 2011

Einstein (São Paulo)

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Appendiceal diverticulitis is an uncommon condition, mimicking appendicitis, but with greater risk of perforation and complications. Preoperative diagnosis is rare, but can be achieved by ultrasonography as identification of the diverticulum and classical signs of appendicitis. We report a case of ultrasonographic diagnosis of a perforated appendiceal diverticulitis in an adult male and discuss this condition.Keywords: Appendix; Diverticulum; Diverticulitis/ultrasonography; Diverticulitis/diagnosis; Case reports RESUMO A diverticulite do apêndice é uma patologia incomum, eventualmente confundida com a apendicite cecal, tendo, porém, maior risco de perfuração e de outras complicações. Seu diagnóstico pré-cirúrgico é raramente realizado, mas pode ser obtido pela ultrassonografia com a demonstração de um divertículo associado a sinais clássicos de apendicite. Relatamos o caso de um homem adulto em que foi possível o diagnóstico ultrassonográfico de diverticulite do apêndice cecal e revisamos os principais aspectos relacionados a essa condição.

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Diverticular disease of the vermiform appendix and its clinical relevance

Abstract: The case of a solitary diverticulum of the appendix found on routine barium enema is presented. The types of diverticula, their presentations and their potential outcomes and significance are discussed.

Cited by 7 publications

References 4 publications

Diverticulosis and Diverticulitis of the Appendix

Diverticulosis and Diverticulitis of the Appendix

Diverticular Abscess of the Appendix

Perforated diverticulitis of the appendix: ultrasonographic diagnosis

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