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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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...
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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Appendiceal diverticulum masquerading as acute appendicitis.

A Patel1, A Abbas1, R Bhattacharyya2

  • 1School of Medicine, Rowan University School of Osteopathic Medicine, Stratford, NJ, USA.

Journal of Surgical Case Reports
|June 6, 2022
PubMed
Summary
This summary is machine-generated.

Appendiceal diverticula are rare and often mistaken for acute appendicitis. Histopathology confirmed inflammation of an appendiceal diverticulum, highlighting its importance in differential diagnosis for right lower quadrant pain.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendiceal diverticula are uncommon, frequently misdiagnosed as acute appendicitis.
  • Clinical presentation can mimic acute appendicitis, leading to diagnostic challenges.

Observation:

  • A 65-year-old female presented with right lower quadrant pain, initially diagnosed as acute appendicitis via CT.
  • Intraoperative findings and subsequent histopathology revealed acute inflammation of an appendiceal diverticulum.

Findings:

  • Histopathology confirmed appendiceal diverticulitis, differing from the initial clinical and radiological diagnosis.
  • This case underscores the diagnostic discrepancy between pre-operative assessments and definitive pathological findings.

Implications:

  • Appendiceal diverticula should be considered in the differential diagnosis for patients presenting with acute right lower quadrant abdominal pain.
  • Appendectomy and thorough histological examination are crucial for accurate diagnosis and management of this rare condition.