scholarly journals A Rare Intra-Operative Sighting of Appendiceal Diverticulitis

2020 ◽  
pp. 1-2
Author(s):  
Artemis Fedder ◽  
Patrick Jones ◽  
Artemis Fedder ◽  
Colin Harris ◽  
Oddai Alkhazaaleh
Keyword(s):  
Acute Appendicitis ◽  
Operative Finding ◽  
Appendiceal Diverticulitis ◽  
Rare Diagnosis

Appendiceal diverticulitis is a rare diagnosis and culprit for acute appendicitis. The majority of these cases are diagnosed post-operatively on histopathology. In the following case it was grossly identifiable intraoperatively. Our treatment was appendicectomy. The purpose of this article was to provide pictorial evidence of this exceedingly rare intra-operative finding.

Appendiceal Diverticulitis as a Cause of Acute Appendicitis

2019 ◽  
Vol 97 (1) ◽  
pp. 53
Author(s):  
Vicent Primo Romaguera ◽  
Abel Gregorio Hernández ◽  
Elena Bragin ◽  
Juan José Arroyo Martín
Keyword(s):  
Acute Appendicitis ◽  
Appendiceal Diverticulitis

Appendiceal Diverticulitis

2006 ◽  
Vol 72 (3) ◽  
pp. 221-223 ◽  
Author(s):  
Hamed Kabiri ◽  
Leon E. Clarke ◽  
Chris D. Tzarnas
Keyword(s):  
Acute Appendicitis ◽  
Clinical Presentation ◽  
Correct Diagnosis ◽  
Younger Patients ◽  
Clinical Process ◽  
Lower Abdominal Quadrant ◽  
Appendiceal Diverticulitis ◽  
The Right ◽  
Time Of Operation ◽  
Abdominal Quadrant

The incidence of appendiceal diverticulitis in pathologic specimens is 0.004 to 2.1 per cent and is unusual in younger patients. Despite being first described in 1893, this condition is commonly dismissed by surgeons and pathologists as a variant of true appendicitis. However, appendiceal diverticulitis is a discrete clinical process that must be considered in the appropriate setting because of the much higher risk of perforation. The average age is older, the pain is often intermittent, and although it can be localized in the right lower abdominal quadrant, it is of longer duration. Although no further treatment in addition to appendectomy is needed, it is important that surgeons be aware of this condition, as the clinical presentation can be different from the classical acute appendicitis picture. Patients often seek medical treatment much later than those with classic appendicitis, and if there is a delay in establishing the correct diagnosis, perforation within the mesentery is found at the time of operation. Also, it is often mistakenly identified as carcinoma and it has higher rate of perforation and a longer convaslescence. We describe a case of a 42-year-old man and review the literature.

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

Surgery Today ◽  
2012 ◽  
Vol 42 (4) ◽  
pp. 363-367 ◽  
Author(s):  
Ippei Yamana ◽  
Shunji Kawamoto ◽  
Kazuo Inada ◽  
Shuji Nagao ◽  
Takahisa Yoshida ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Clinical Characteristics ◽  
Appendiceal Diverticulitis

scholarly journals Appendiceal diverticulitis presenting as acute appendicitis diagnosed postoperatively

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Majid Z Albeeshi ◽  
Abdullah A Alwanyan ◽  
Alaa A Salim ◽  
Ibrahim T Albabtain
Keyword(s):  
Computed Tomography ◽  
Acute Appendicitis ◽  
Diverticular Disease ◽  
Laparoscopic Appendectomy ◽  
Rare Entity ◽  
Computed Tomography Scan ◽  
History Of ◽  
Appendiceal Diverticulitis ◽  
Tomography Scan

Abstract Appendiceal diverticular disease is a rare entity. We report a case of appendiceal diverticulitis mimicking acute appendicitis and diagnosed postoperatively on histopathology. A 28-year-old female presented with a 2-day history of shifting periumbilical pain associated with nausea and anorexia. A computed tomography scan of the abdomen demonstrated acute appendicitis. She was taken to laparoscopic appendectomy. Histopathology showed appendiceal diverticulitis, and perforation of an inflamed diverticulum with periappendicitis. Diverticulosis of the appendix is classified as congenital and acquired. Diagnosis can be made preoperatively by imaging. In this case, diverticulosis was not radiologically evident, and was interpreted as acute appendicitis. Gross appearance of the resected appendix was not suggestive of diverticulitis. Other cases reported that the gross specimen had evidence of diverticular disease. Surgeons should be aware that inflamed appendixes may harbor different pathologies warranting further management.

scholarly journals Appendiceal Diverticulitis in a Young Female Diagnosed on Pathology after Laparoscopic Appendectomy for Acute Appendicitis

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Oluwatobi O. Onafowokan ◽  
Aboubakr Khairat ◽  
Hugo J. R. Bonatti
Keyword(s):  
Acute Appendicitis ◽  
Laparoscopic Appendectomy ◽  
Malignant Tumors ◽  
Rare Condition ◽  
Young Female ◽  
Sudden Onset ◽  
Lower Quadrant ◽  
Increased Risk ◽  
Acute Appendicits ◽  
Appendiceal Diverticulitis

Background. Appendiceal diverticulitis is a rare cause of inflammation of the appendix, which may mimic acute appendicitis. Its diagnosis is often delayed, and its occurrence carries an increased risk of significant complications, such as perforation. Case Presentation. A 23-year-old woman presented with sudden onset, severe, right lower quadrant abdominal pain and nausea. Her WBC was elevated, and abdominal CT showed findings indicative of acute appendicitis with a 13 mm fluid-filled appendix and local stranding. During laparoscopic appendectomy, significant inflammation was found around the appendix with some mucous material around the tip. The appendix base was not involved, and an endoloop was used to secure the stump. No other intra-abdominal abnormalities were observed. The patient recovered uneventfully. Pathology showed no classic appendicitis but appendiceal diverticulitis with signs of perforation. Discussion. Appendiceal diverticulitis is a rare condition which cannot be distinguished from acute appendicits clinically and on imaging. Diagnosis may be established based on pathology such as in our case. Appendectomy is indicated in appendiceal diverticulitis, and an appendix diverticulum is incidentally found during surgery or other investigations. This is due to the increased risk of perforation and the reported development of malignant tumors, including the appendix carcinoid.

scholarly journals Appendicitis- Histology Specific Incidence Trends In A Semi Urban Population In New Delhi: A Study Of 262 Cases

2012 ◽  
Vol 11 (3) ◽  
pp. 201-205
Author(s):  
J Sujata ◽  
JS Zeeba ◽  
R Safia
Keyword(s):  
Acute Appendicitis ◽  
Medical Science ◽  
Vermiform Appendix ◽  
New Delhi ◽  
Age Group ◽  
Male Predominance ◽  
Incidence Trends ◽  
Group A ◽  
Negative Appendicectomy ◽  
Rare Diagnosis

Objectives: Acute appendicitis is a condition characterized by inflammation of the appendix for which timely surgery is mandatory to prevent morbidity and mortality. The aim of this study was to assess the differences in incidences, age, sex and seasonal variations and to review the histological diagnoses of all the appendicectomy samples.Methods: A retrospective analysis of patients who underwent appendicectomy at the Hakeem Abdul Hameed Centenary Hospital, New Delhi during the period Jan 2007 to Oct 2010.All the relevant data were retrieved from the accompanying laboratory request forms or patients files records where available. All histology slides were also retrieved and reviewed. To overcome the lack of standardization which is inherent in a retrospective analyses of this type, on review, all the cases were grouped into histopathologic categories Results: Of the 262 cases reviewed, acute suppurative appendicitis accounted for the maximum cases(80,30.53%) and a negative appendicectomy rate of 7% was observed. Male predominance was seen with a M:F ratio of 1.4:1.A peak incidence of 35.1% was observed in the 21-30years age group. A seasonal trend of majority cases being confined to the months of June -August coinciding with the rainy season was noted. Conclusion: The vermiform appendix is a vestigial organ with no specific function. It comes into the limelight when a diagnosis of acute appendicitis is made by the surgeon based upon clinical features and physical examination. Histological examination of the appendix is therefore necessary to assess the surgeon's rate of negative appendicectomy as well as avoid missing a rare diagnosis or a malignancy. DOI: http://dx.doi.org/10.3329/bjms.v11i3.11722 Bangladesh Journal of Medical Science Vol. 11 No. 03 July’12  

Incidental Findings of Appendiceal Diverticulitis Presenting as Acute Appendicitis

2021 ◽  
pp. 000313482110651
Author(s):  
Benjamin Souferi ◽  
Kristin Sheppard ◽  
Ayolola O. Onayemi ◽  
John M. Davis
Keyword(s):  
Acute Appendicitis ◽  
Pathological Finding ◽  
Signs And Symptoms ◽  
Chronic Abdominal Pain ◽  
Adult Males ◽  
Pathologic Evaluation ◽  
Appendiceal Neoplasms ◽  
Appendiceal Diverticulitis ◽  
Gross Examination ◽  
Rule Out

Diverticulosis of the appendix (DA) is a rare pathological finding that clinically imitates acute appendicitis and is most commonly found in adult males with chronic abdominal pain. It has a higher rate of perforation compared to acute appendicitis (84% vs 12%, P<0.01), and is consequently associated with a higher rate of mortality. Appendiceal diverticulitis has been found to have a significant association with incidental appendiceal neoplasms, therefore elective prophylactic appendectomy is recommended to prevent the risk of complications and to rule out the possibility of a coexisting neoplasm. Meticulous gross examination in addition to thorough histological examination of the entire appendectomy specimen by pathologists is essential in order to identify diverticula. We present two female patients with signs and symptoms consistent with acute appendicitis, they were found to have appendiceal diverticulitis on pathologic evaluation.

scholarly journals Perforated Acute Appendicitis in a Six-Day-Old Neonate: A Rare Differential Diagnosis of Neonatal Peritonitis

2021 ◽  
pp. 188-194
Author(s):  
Thanh Xuan Nguyen ◽  
Nhu Thanh Dang ◽  
Hai Thanh Phan ◽  
Nhu Hien Pham ◽  
Hoai Anh Vu
Keyword(s):  
Differential Diagnosis ◽  
Critical Care ◽  
Acute Appendicitis ◽  
Septal Defect ◽  
Pulmonary Atresia ◽  
Hemodynamic Instability ◽  
Term Infant ◽  
Rare Differential Diagnosis ◽  
Rare Diagnosis ◽  
Neonatal Peritonitis

Acute appendicitis is a rare diagnosis of acute abdomen in neonates which is associated with high mortality due to late diagnosis. Here, we presented a case of acute neonatal appendicitis in a 6-year-old full-term infant with Down syndrome and pulmonary atresia with ventricular septal defect. The patient underwent surgery and postoperative critical care. However, he died on postoperative day 5 due to worsening sepsis and decompensated hemodynamic instability.

scholarly journals Clinical Features of Appendiceal Diverticulitis Comparing with Acute Appendicitis

2017 ◽  
Vol 78 (11) ◽  
pp. 2391-2397
Author(s):  
Masanari UMEMURA ◽  
Norihiro YUASA ◽  
Eiji TAKEUCHI ◽  
Yasutomo GOTO ◽  
Hideo MIYAKE ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Clinical Features ◽  
Appendiceal Diverticulitis

scholarly journals Acute appendiceal diverticulitis diagnosed in the postoperative context of appendectomy

2021 ◽  
Vol 8 (3) ◽  
pp. 1004
Author(s):  
Sofia M. Frade ◽  
Ana K. Andrade ◽  
João S. Pimentel ◽  
Luis M. Moniz ◽  
Helder J. Viegas
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Age Groups ◽  
Lower Abdominal Pain ◽  
Vermiform Appendix ◽  
Duration Of Symptoms ◽  
Lower Quadrant ◽  
Appendiceal Diverticulitis ◽  
And Gender ◽  
Histological Result

Acute appendiceal diverticulitis is a rare cause of acute abdomen that is commonly interpreted as acute appendicitis until definitive histological result. We herein present two cases of patients of distinct age groups and gender who presented to the emergency department with right lower quadrant abdominal pain. Laboratory and imaging studies led to the diagnosis of acute appendicitis. In both cases, intraoperative findings were compatible with the initial diagnosis and therefore appendectomy was performed. Later pathological exam showed diverticulitis of the vermiform appendix. Although appendiceal diverticulitis is associated with a higher risk of perforation and neoplasms, both patients had linear postoperative period, without complications or dysplastic findings. Despite its similarities to the acute appendicitis, appendiceal diverticulitis presents itself as a distinct entity and should be suspected in patients with right lower abdominal pain in older age and with longer duration of symptoms.

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