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Perforated sigmoid diverticulum mimicking acute appendicitis in a young patient: a case report
Shyamala Srirangalingam1, Rajesh K Balasubramanian, Alex Rodway
1Department of General Surgery, West Middlesex University Hospital, London, United Kingdom. sri04@doctors.org.uk
Abstract:
Acute colonic diverticula are uncommon in patients <40 years of age, with an incidence between 2% and 10%. In such patients, the condition may be misdiagnosed in the acute setting, because it is often not considered and may be mistaken for acute appendicitis, particularly if there are predominantly right-sided signs. As a result, it may result in diagnostic delay and complications. We report a case of a young patient who presented with a perforated sigmoid diverticulum mimicking acute appendicitis, which was not diagnosed initially, and the resulting course of events.
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