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A case of Type 2 appendiceal diverticulum perforated and a review of the literature

Michele Fiordaliso1, Antonia Flavia De Marco2, Raffaele Costantini3

  • 1Department of Surgery, Erbach General Hospital, Germany.

International Journal of Surgery Case Reports
|January 5, 2021
PubMed
Abstract

Insights

Appendiceal diverticulosis, a rare condition, can mimic acute appendicitis. Early diagnosis and surgical intervention are crucial to prevent severe complications from this unusual surgical finding.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendiceal diverticulosis is a rare condition with a prevalence ranging from 0.014% to 3.7%.
  • Perforated appendiceal diverticulosis is an extremely unusual surgical finding that can mimic acute appendicitis.

Observation:

  • A case report details an elderly male presenting with symptoms typical of acute appendicitis.
  • Laparoscopic surgery revealed acute appendicitis with localized peritonitis, leading to appendectomy.

Findings:

  • Pathologic analysis confirmed type 2 appendiceal diverticulitis, despite initial intraoperative findings.
  • This highlights the potential for appendiceal diverticulitis to present as acute appendicitis.

Implications:

  • Appendiceal diverticulosis should be considered in the differential diagnosis for patients presenting with acute appendicitis symptoms.
  • Prompt surgical treatment is essential for managing appendiceal diverticulosis to avoid serious complications.
Keywords:
Appendiceal diverticulum perforatedAppendicitis

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