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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch

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Transverse colon diverticulitis mimicking acute appendicitis.

Ilias Vagios¹, Michail Vailas², Chrysovalantis Vergadis³

¹1st Surgical Department, Laiko General Hospital, Athens, Attica, Greece iliasvagios@gmail.com.

BMJ Case Reports

|January 31, 2024

Summary

A rare case of diverticulitis in a solitary transverse colon diverticulum presented as appendicitis. Diagnosis was challenging, but surgery revealed the true cause: a ruptured diverticulum with an abscess.

Keywords:

general surgery radiology

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Area of Science:

Gastroenterology
Surgical Pathology

Background:

Diverticulitis typically affects the sigmoid colon, but can occur elsewhere.
Solitary transverse colon diverticulitis is exceptionally rare, posing diagnostic challenges due to varied presentations.

Observation:

A premenopausal woman presented with right lower quadrant pain, fever, nausea, and anorexia, mimicking acute appendicitis.
Initial investigations suggested appendicitis, leading to planned appendicectomy.
Intraoperative findings revealed an inflammatory mass in the transverse colon, not appendiceal inflammation.

Findings:

Histological examination confirmed a ruptured solitary transverse colon diverticulum.
An adjacent mesenteric abscess was identified in conjunction with the diverticulum.
The patient recovered well following surgical excision of the affected segment.

Implications:

This case highlights the importance of considering rare colonic pathologies in the differential diagnosis of acute abdominal pain.
Challenging clinical and radiological presentations necessitate thorough intraoperative exploration.
Accurate diagnosis and timely surgical intervention are crucial for favorable outcomes in transverse colon diverticulitis.