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The Hidden Diverticula: A Case Report on Appendiceal Diverticulosis
Murad M Hamiedah1, Moath R Alzboon1, Hussien R Al-Nawaiseh1
1General Surgery, Prince Ali Bin Al-Hussein Military Hospital, Jordanian Royal Medical Services, Amman, JOR.
Cureus
|September 2, 2024
Summary
Diverticulosis of the appendix (DA) is rare but strongly linked to neoplasia. This case highlights the importance of considering DA in diagnosis and thorough pathology for timely intervention.
Area of Science:
- Gastroenterology
- Urology
- Pathology
Background:
- Diverticulosis of the appendix (DA) is an uncommon condition.
- DA is often asymptomatic and discovered incidentally during other procedures.
- A significant association exists between DA and appendiceal neoplasia.
Observation:
- A 54-year-old male presented with left flank pain and dysuria.
- Clinical examination revealed left renal angle tenderness and leukocytosis.
- CT scan identified a left ureteric stone and an enlarged appendix.
Findings:
- The patient underwent double-J catheter placement for the ureteric stone and subsequent appendectomy.
- Histopathology confirmed DA with acute inflammation, serositis, and fibroblast proliferation.
- No malignancy was detected in the appendiceal specimen.
Implications:
- This case emphasizes the need to include DA in the differential diagnosis for abdominal complaints.
- Thorough histopathological examination of incidentally discovered appendiceal abnormalities is crucial.
- Prompt surgical intervention may be necessary for symptomatic DA or suspected associated pathology.
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