Related Experiment Video
Updated: May 26, 2026
08:51
Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
Published on: August 24, 2019
Appendicular pseudodiverticula and acute appendicitis. Our 12-year experience
María del Carmen Manzanares-Campillo1, Ricardo Pardo-García, Jesús Martín-Fernández
1Department of General and Digestive Surgery, Hospital General de Ciudad Real, Ciudad Real, Spain. carmenmc2010@gmail.com
Revista Espanola De Enfermedades Digestivas
|December 14, 2011
Summary
Diverticular disease of the appendix is rare but increases the risk of perforation. Appendectomy is recommended, even when found incidentally, due to potential for insidious symptoms and higher perforation rates in appendicitis patients.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Diverticular disease in the cecal appendix is an uncommon condition.
- This study presents a series of 13 patients diagnosed with appendiceal diverticular disease.
Purpose of the Study:
- To analyze the clinical manifestations, diagnostic findings, and outcomes of appendiceal diverticular disease.
- To compare the incidence and complications of appendiceal diverticular disease with general appendicitis cases.
Main Methods:
- Retrospective analysis of 13 patients with appendiceal diverticular disease over twelve years.
- Pathological examination of appendectomy specimens for diagnosis.
- Analysis of clinical, laboratory, imaging, and histological data.
Main Results:
- Appendiceal diverticular disease occurred in 0.8% of appendectomies for acute appendicitis (13/1634).
- Diverticulitis was present in 61.5% of cases, and diverticulosis in 38.5%.
- Appendicular perforation was significantly higher in patients with diverticular disease (53.8%) compared to those without (31.1%).
Conclusions:
- Complicated appendiceal diverticular disease can present insidiously, complicating preoperative diagnosis.
- The increased risk of perforation makes appendectomy the preferred treatment, including prophylactic cases.
- Early identification and surgical intervention are crucial for managing appendiceal diverticular disease.
Related Concept Videos
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:27Diverticular Disease of the Colon
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:19Abdominal Regions and Quadrants
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...