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 Comparison of Clinical Features Between Patients with Positive and Negative Appendectomy

2020 ◽  
Author(s):  
Guner Cakmak ◽  
Baris Mantoglu ◽  
Emre Gonullu ◽  
Kayhan Ozdemir ◽  
Burak Kamburoglu
Keyword(s):  
Acute Appendicitis ◽  
Clinical Features ◽  
Total Bilirubin ◽  
Negative Appendectomy ◽  
C Reactive Protein ◽  
Future Studies ◽  
Female Patients ◽  
Reactive Protein ◽  
Male Patients ◽  
The Mean

Abstract Background: The objective of this study was to retrospectively compare clinical features and prognostic values between the patients who were referred to the general surgery clinic of our hospital with the presumed diagnosis of acute appendicitis and underwent positive or negative appendectomy.Methods: Patients were divided into two groups as positive (PA) (n:362) and negative appendectomy (NA) (n:284) and the data obtained were compared between these two groups.Laboratory investigations were performed in all patients, and white blood cell (WBC), mean platelet volume (MPV), neutrophils count (NEU), neutrophils (%) (NEU%), C-reactive protein (CRP) and total bilirubin (TBIL) values were studied.Results: The mean MPV value was found as 7.88 fl in PA groups and 8.09 fl in NA group, and the mean MPV value was not statistically significantly difference in PA group, compared to NA groups (p=0.012). Laboratory parameters were also compared between genders. Accordingly, the mean MPV value was statistically significantly higher in female patients compared to male patients in PA group (p = 0.04). The mean TBIL value was 0.97 mg/dl in PA group and 0.69 mg/dl in NA group, and the mean TBIL value was statistically significantly higher in PA group (p< 0.001). Finally, TBIL value was statistically significantly lower in female patients compared to male patients in NA and PA group (p < 0.05).Conclusions: According to the results of our study, MPV and T. BIL values differ in PA and NA groups depending on gender. Therefore, these values may not be used as specific biomarkers in predicting positive acute appendicitis. We believe that these results will contribute to the literature and will be guiding for future studies.

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 Underestimated Amoebic Appendicitis among HIV-1-Infected Individuals in Japan

2016 ◽  
Vol 55 (1) ◽  
pp. 313-320 ◽  
Author(s):  
Taiichiro Kobayashi ◽  
Koji Watanabe ◽  
Hideaki Yano ◽  
Yukinori Murata ◽  
Toru Igari ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Clinical Features ◽  
Periodic Acid ◽  
Periodic Acid Schiff ◽  
Content Type ◽  
Formalin Fixed Paraffin ◽  
Formalin Fixed Paraffin Embedded ◽  
Life Threatening ◽  
Pas Staining ◽  
Hiv 1

ABSTRACT Entamoeba histolytica is not a common causative agent of acute appendicitis. However, amoebic appendicitis can sometimes be severe and life threatening, mainly due to a lack of awareness. Also, its frequency, clinical features, and pathogenesis remain unclear. The study subjects were HIV-1-infected individuals who presented with acute appendicitis and later underwent appendectomy at our hospital between 1996 and 2014. Formalin-fixed paraffin-embedded preserved appendix specimens were reexamined by periodic acid-Schiff (PAS) staining and PCR to identify undiagnosed amoebic appendicitis. Appendectomies were performed in 57 patients with acute appendicitis. The seroprevalence of E. histolytica was 33% (14/43) from the available stored sera. Based on the medical records, only 3 cases were clinically diagnosed as amoebic appendicitis, including 2 diagnosed at the time of appendectomy and 1 case diagnosed by rereview of the appendix after the development of postoperative complications. Retrospective analyses using PAS staining and PCR identified 3 and 3 more cases, respectively. Thus, E. histolytica infection was confirmed in 9 cases (15.8%) in the present study. Apart from a significantly higher leukocyte count in E. histolytica -positive patients than in negative patients (median, 13,760 versus 10,385 cells/μl, respectively, P = 0.02), there were no other differences in the clinical features of the PCR-positive and -negative groups. In conclusion, E. histolytica infection was confirmed in 9 (15.8%) of the appendicitis cases. However, only 3, including one diagnosed after intestinal perforation, were diagnosed before the present analyses. These results strongly suggest there is frequently a failure to detect trophozoites in routine examination, resulting in an underestimation of the incidence of amoebic appendicitis.

Structure and clinical features of patients with acute appendicitis in infectious hospital

2021 ◽  
pp. 11-19
Author(s):  
V. P. Zemlyanoy ◽  
B. V. Sigua ◽  
V. A. Melnikov ◽  
M. M. Nakhumov ◽  
Yu. V. Letina
Keyword(s):  
Infectious Disease ◽  
Acute Appendicitis ◽  
Infectious Diseases ◽  
Clinical Features ◽  
Medical Records ◽  
Comparison Group ◽  
Surgical Patients ◽  
Group Iii ◽  
Group I ◽  
Hospital Patients

The results of the analysis of medical records of 148 patients with acute appendicitis who were treated in the surgical departments of an infectious diseases hospital and in a general surgical hospital are presented. The patients were divided into 3 groups: I (main) — patients with a confirmed infectious disease, II (occult) — patients with excluded infectious disease, III (comparison group) — patients of a general surgical hospital. Patients treated in an infectious diseases hospital were admitted mainly within 24 hours from the onset of the disease, while patients with a general surgical profile — in the interval from 6 to 24 hours from the onset of symptoms. In the structure of morphological forms of acute appendicitis in infectious patients, gangrenous appendicitis prevailed, and phlegmonous appendicitis among general surgical patients. Peritonitis, which is the most frequent complication of acute appendicitis, was registered in group I in 53 (96,4 %) cases, in group II in 35 (71,4 %) cases, and in group III in 16 (36,4 %) cases, moreover, the patients of the infectious diseases hospital predominantly developed purulent forms, and the patients of the general surgical hospital developed serous peritonitis.

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 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.

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.

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