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[Appendicular diverticulitis: a review of 5 cases]
Abstract:
Of a total of 3,669 appendectomies, five corresponded to appendicular diverticulosis (0.13%), all of which had an inflammatory pathology. Four patients underwent emergency surgery with a diagnosis of acute appendicitis, and in only one was a correct preoperative diagnosis made. There were three cases of acute primary diverticulitis and one appendicitis with secondary diverticular affectacion. Another patient was operated electively for a history of long evolution; during the surgical act an appendicular inflammatory mass was found that the pathological report described as diverticulitis with subacute periappendicitis. Certain aspects of this entity are remarked and the bibliography is reviewed.
Insights
Appendicular diverticulosis is a rare condition, found in 0.13% of appendectomies. Preoperative diagnosis is challenging, often leading to misdiagnosis as acute appendicitis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Appendectomies are common surgical procedures.
- Appendicular diverticulosis is an uncommon finding during these procedures.
Purpose:
- To report on the incidence and characteristics of appendicular diverticulosis.
- To highlight diagnostic challenges associated with this condition.
Summary:
- A review of 3,669 appendectomies identified five cases (0.13%) of appendicular diverticulosis, all with inflammatory pathology.
- Preoperative diagnosis was incorrect in most cases, with only one accurate diagnosis of appendicular diverticulosis.
- The cases included acute primary diverticulitis and appendicitis with secondary diverticular involvement, plus one subacute presentation.
Impact:
- Highlights the low incidence of appendicular diverticulosis.
- Underscores the difficulty in preoperative diagnosis, often leading to misdiagnosis as acute appendicitis.
- Contributes to understanding the inflammatory spectrum of appendicular diverticulosis.