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A rare simultaneous occurrence of appendiceal diverticulitis and non-perforated peptic ulcer mimicking abdominal

Maziar Moayerifar1, Hossein Torabi1, Kasra Shirini2

  • 1Department of General Surgery, Poursina Medical and Educational Center Guilan University of Medical Sciences Rasht Iran.

Clinical Case Reports
|May 2, 2022
PubMed

Insights

Appendiceal diverticulitis, though rare, can cause serious complications like perforation and peritonitis. This case highlights a simultaneous occurrence of perforated appendiceal diverticulitis and peptic ulcer disease.

Area of Science:

  • Gastroenterology and General Surgery
  • Surgical Pathology

Background:

  • Appendiceal diverticulitis is an uncommon condition.
  • It can present with varied symptoms and complications, including perforation.
  • Perforation of appendiceal diverticulitis can lead to severe conditions like peritonitis.

Observation:

  • A male patient presented with abdominal pain, initially suspected to have a perforated peptic ulcer.
  • Diagnostic investigations revealed a concurrent diagnosis.

Findings:

  • The patient had a simultaneous occurrence of a perforated peptic ulcer and perforated appendiceal diverticulitis.
  • This dual pathology resulted in symptoms consistent with peritonitis.

Implications:

  • This case underscores the importance of considering appendiceal diverticulitis in the differential diagnosis of acute abdominal pain.
  • Simultaneous presentations of appendiceal diverticulitis and peptic ulcer disease, though rare, can lead to life-threatening peritonitis.
  • Accurate and timely diagnosis is crucial for effective management of such complex surgical emergencies.
Keywords:
appendiceal diverticulaappendiceal diverticulitislaparotomypeptic ulcerperitonitis

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