2011
DOI: 10.1590/s1679-45082011rc978
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Perforated diverticulitis of the appendix: ultrasonographic diagnosis

Abstract: 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 repor… Show more

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Cited by 3 publications
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“…Appendiceal diverticulitis (AD) is difficult to diagnose preoperatively, as it mimics acute appendicitis in clinical manifestations. For example, lower-quadrant abdominal pain is a key feature of both AD and acute appendicitis, but some differences exist; for example, it has been reported that the pain associated with AD is milder and longer lasting than that associated with appendicitis, and AD tends to affect adults aged >30 years with a history of similar episodes [ 4 , 6 ], whereas appendicitis is more common in children. Most patients seek medical advice once the symptoms become more prominent, and the risk of perforation increases [ 6 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Appendiceal diverticulitis (AD) is difficult to diagnose preoperatively, as it mimics acute appendicitis in clinical manifestations. For example, lower-quadrant abdominal pain is a key feature of both AD and acute appendicitis, but some differences exist; for example, it has been reported that the pain associated with AD is milder and longer lasting than that associated with appendicitis, and AD tends to affect adults aged >30 years with a history of similar episodes [ 4 , 6 ], whereas appendicitis is more common in children. Most patients seek medical advice once the symptoms become more prominent, and the risk of perforation increases [ 6 ].…”
Section: Discussionmentioning
confidence: 99%
“…For example, lower-quadrant abdominal pain is a key feature of both AD and acute appendicitis, but some differences exist; for example, it has been reported that the pain associated with AD is milder and longer lasting than that associated with appendicitis, and AD tends to affect adults aged >30 years with a history of similar episodes [ 4 , 6 ], whereas appendicitis is more common in children. Most patients seek medical advice once the symptoms become more prominent, and the risk of perforation increases [ 6 ]. Generally, the risk of perforation of AD has been shown to be 3–4 times higher than that of acute appendicitis, and this is associated with a 30-fold higher mortality risk [ 1 , 3 , 7 ].…”
Section: Discussionmentioning
confidence: 99%
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