Episodic Abdominal Pain-An Unexpected Cause for a Common Clinical Problem
Tim William Böttger1,2, Matthias Turina3, Falko Ensle4
1Department of Internal Medicine, University Hospital Zurich, University Zurich, Zurich, Switzerland. t.boettger@med.uni-frankfurt.de.
Journal of General Internal Medicine
|March 20, 2024
Summary
Appendiceal diverticulitis, a rare cause of abdominal pain, should be considered in middle-aged patients with recurrent pain episodes. White blood cell counts and fecal calprotectin may correlate with this condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Appendiceal diverticulitis is an uncommon condition, often presenting with non-specific symptoms.
- Early diagnosis is crucial for effective management and preventing complications.
Observation:
- A 55-year-old male presented with recurrent severe periumbilical abdominal pain.
- Extensive work-up was required, and the patient's condition deteriorated before diagnosis.
Findings:
- Appendiceal diverticulitis was diagnosed after a thorough investigation.
- Elevated white blood cell counts and potentially fecal calprotectin correlated with the patient's symptoms.
Implications:
- Consider appendiceal diverticulitis in middle-aged individuals with recurrent abdominal pain.
- Laboratory markers of inflammation may aid in diagnosis and monitoring of appendiceal diverticulitis.
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