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Appendiceal diverticulitis.

R J Place1, C L Simmang, P J Huber

  • 1Department of Surgery, University of Texas Southwestern Medical Center, Dallas 75235, USA.

Southern Medical Journal
|February 1, 2000
PubMed
Summary
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Appendiceal diverticulitis, a rare condition, can mimic appendicitis. This case highlights the importance of considering appendiceal diverticulitis in diagnosing right lower quadrant abdominal pain, even with CT findings suggesting other causes.

Area of Science:

  • Gastroenterology and Surgical Pathology
  • Abdominal Imaging and Diagnostics

Background:

  • Appendiceal diverticulitis is an uncommon condition characterized by outpouchings of the appendiceal wall.
  • Diagnosis is often challenging due to its rarity and nonspecific symptoms, frequently mimicking common conditions like appendicitis.

Observation:

  • A 56-year-old male presented with recurrent right lower quadrant abdominal pain.
  • Computed tomography (CT) revealed a phlegmon, initially suggesting cecal diverticulitis or appendicitis.
  • Surgical intervention (appendectomy) was performed, leading to an uneventful recovery.

Findings:

  • Histopathologic examination confirmed chronic appendiceal diverticulitis with herniated mucosa, chronic inflammation, and fibrosis.
  • The study emphasizes the infrequent diagnosis of appendiceal diverticular disease through radiological methods.

Related Experiment Videos

  • CT findings in appendiceal diverticulitis are discussed, alongside a comprehensive literature review.

    • Implications:

    • This case underscores the need to include appendiceal diverticulitis in the differential diagnosis for patients with right lower quadrant pain.
    • Improved recognition of CT findings associated with appendiceal diverticulitis may aid in earlier and more accurate preoperative diagnosis.
    • Further research into the prevalence and diagnostic challenges of appendiceal diverticulitis is warranted.