Incidental Findings of Appendiceal Diverticulitis Presenting as Acute Appendicitis

Souferi, Benjamin; Sheppard, Kristin; Onayemi, Ayolola; Davis, John M.

doi:10.1177/00031348211065125

Cited by 3 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Appendiceal diverticula are mostly discovered incidentally by imaging and/or intraoperatively by histological diagnosis. Despite the paucity of specialized literature on the subject, several studies consider appendicular diverticulosis as precancer (5)(6)(7)(8)(9).…”

Section: Discussionmentioning

confidence: 99%

Acute appendicitis without appendicitis

Daskalova,

Lavchev,

Rusenov

et al. 2023

SSM

View full text Add to dashboard Cite

INTRODUCTION: A clinical, imaging, and laboratory constellation for acute appendicitis requires operative treatment to avoid life-threatening complications such as perforation and peritonitis. The latter, in turn, are an absolute indication for surgical intervention. Although it does not change the operative approach, in rare cases, the cause of the condition is appendicular diverticulitis-usually an incidental, pathological diagnosis with a literature frequency of 0.004-2.1%. The differential diagnosis of diverticula of the appendix in patients with acute appendicitis is important because of the higher risk of developing the above complications, but also because of primary neoplasms of the appendix. The latter are rare Tu with a frequency of 0.2-0.5% of all GIT neoplasms. Among them, carcinoids are the most common and are characterized by slow growth and a long asymptomatic course. However, they often present with the picture of acute appendicitis with/ without perforation, abscess or peritonitis. MATERIALS, METHODS AND RESULTS:The study was single-center, retrospective. Three patients with histologically verified appendicular diverticulitis with perforation and periappendicular abscess are presented, necessitating laparoscopic appendectomy (1 case), conventional appendectomy (1 case), right hemicolectomy (1 case). Adenocarcinoma of the appendix was proven in two patients with laparoscopic appendectomy.After verification of the permanent histological result and after discussion with the hospital Oncology Committee in the first case, the operation performed was determined to be sufficient in view of the oncological radicality. In the second case, reoperation with right hemicolectomy was recommended for histological evidence of T3 adenocarcinoma of the appendix. An appendicular mucocele was pathologically proven in one of the patients after laparoscopic appendectomy. CONCLUSION:The differential diagnosis of diverticulitis of the appendix in patients with acute appendicitis is important due to the higher risk of developing the above complications, but also because of primary neoplasms of the appendix. The latter are rare Tu with a frequency of 0.2-0.5% of all GIT neoplasms, which can also present with the picture of acute appendicitis with/without perforation, abscess or peritonitis.

show abstract

Section: Discussionmentioning

confidence: 99%

Acute appendicitis without appendicitis

Daskalova,

Lavchev,

Rusenov

et al. 2023

SSM

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

A Rare Simultaneous Occurrence of Appendiceal Diverticulitis and Peptic Ulcer that Leads to Abdominal Peritonitis Symptoms

Moayerifar

Torabi

Shirini

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Different cases of appendiceal diverticula with different symptoms and complications have been reported, including patients of various ages and with different health conditions. 2 , 6 , 7 This disease is classified into two groups based on the number of layers herniating through the appendix wall. Acquired or pseudodiverticula form and congenital or true form, which means all three appendiceal layers herniate through a normal wall histologically.…”

Section: Discussionmentioning

confidence: 99%

“…Different cases of appendiceal diverticula with different symptoms and complications have been reported, including patients of various ages and with different health conditions 2,6,7 …”

Section: Discussionmentioning

confidence: 99%

A rare simultaneous occurrence of appendiceal diverticulitis and non‐perforated peptic ulcer mimicking abdominal peritonitis symptoms

Moayerifar

Torabi

Shirini

et al. 2022

Clinical Case Reports

View full text Add to dashboard Cite

Appendiceal diverticulitis is an infrequent disease that can mimic other diseases’ symptoms or cause different symptoms because of its various complications. However, one of the most frequent complications of this disease is a perforation that can lead to other serious problems such as peritonitis. This complication can threaten a patient's health condition. In this article, a male patient presented with abdominal pain and was admitted to the surgical ward with suspicion of a perforated peptic ulcer. However, more investigation showed a simultaneous occurrence of peptic ulcer and perforated appendiceal diverticulitis that cause peritonitis symptoms.

show abstract

Incidental Findings of Appendiceal Diverticulitis Presenting as Acute Appendicitis

Cited by 3 publications

References 5 publications

Acute appendicitis without appendicitis

Acute appendicitis without appendicitis

A Rare Simultaneous Occurrence of Appendiceal Diverticulitis and Peptic Ulcer that Leads to Abdominal Peritonitis Symptoms

A rare simultaneous occurrence of appendiceal diverticulitis and non‐perforated peptic ulcer mimicking abdominal peritonitis symptoms

Contact Info

Product

Resources

About