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Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature

INTRODUCTION: Appendiceal diverticulitis is a rare pathology that mimics acute appendicitis. Appendiceal diverticula are classified into congenital and acquired with difference in incidence and pathogenesis. Appendiceal diverticulitis is often overlooked because of mildness of symptomatology with in...

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Autores principales: Altieri, Maria Leonarda, Piozzi, Guglielmo Niccolò, Salvatori, Pierluigi, Mirra, Maurizio, Piccolo, Gaetano, Olivari, Natale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338906/
https://www.ncbi.nlm.nih.gov/pubmed/28267663
http://dx.doi.org/10.1016/j.ijscr.2017.02.027
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author Altieri, Maria Leonarda
Piozzi, Guglielmo Niccolò
Salvatori, Pierluigi
Mirra, Maurizio
Piccolo, Gaetano
Olivari, Natale
author_facet Altieri, Maria Leonarda
Piozzi, Guglielmo Niccolò
Salvatori, Pierluigi
Mirra, Maurizio
Piccolo, Gaetano
Olivari, Natale
author_sort Altieri, Maria Leonarda
collection PubMed
description INTRODUCTION: Appendiceal diverticulitis is a rare pathology that mimics acute appendicitis. Appendiceal diverticula are classified into congenital and acquired with difference in incidence and pathogenesis. Appendiceal diverticulitis is often overlooked because of mildness of symptomatology with increasing risk of complications, such as perforation. Appendiceal diverticula are often associated to higher risk of neoplasm especially carcinoid tumors and mucinous adenomas. PRESENTATION OF CASE: A 40-year-old caucasic male presented into Emergency Room with right lower quadrant pain associated with vomit, abdominal tenderness, fever and moderate leukocytosis (11.93 × 10; neutrophils 78.5%). Acute appendicitis was suspected and a surgical approach was chosen with a McBurney access. The removed specimen (Figs. 1 and 2) was 11 cm long with multiple hyperaemic and oedematous diverticular protrusions. The postoperative course was regular. Discharging was on 4th postoperative day in optimal clinical conditions. The histological examination (Fig. 3) showed acute inflammation of appendiceal pseudodiverticula with acute peridiverticulitis and abscess. DISCUSSION: Currently, appendiceal diverticulitis is often overlooked with high risk of complications, above all perforation. Attention should be kept during the surgical procedure and the patholological examination in order to identify any associated neoplasm. CONCLUSION: Appendiceal diverticulitis should be considered in adult male patients with right lower quadrant pain or tenderness. Accurate appendectomy should be performed in order to permit an appropriate pathological examination and possible associate neoplasm should always be searched through. Prophylactic appendectomy should be performed in case of incidental finding of appendiceal diverticula in asymptomatic patients in order to avoid the high perforation risk.
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spelling pubmed-53389062017-03-13 Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature Altieri, Maria Leonarda Piozzi, Guglielmo Niccolò Salvatori, Pierluigi Mirra, Maurizio Piccolo, Gaetano Olivari, Natale Int J Surg Case Rep Case Report INTRODUCTION: Appendiceal diverticulitis is a rare pathology that mimics acute appendicitis. Appendiceal diverticula are classified into congenital and acquired with difference in incidence and pathogenesis. Appendiceal diverticulitis is often overlooked because of mildness of symptomatology with increasing risk of complications, such as perforation. Appendiceal diverticula are often associated to higher risk of neoplasm especially carcinoid tumors and mucinous adenomas. PRESENTATION OF CASE: A 40-year-old caucasic male presented into Emergency Room with right lower quadrant pain associated with vomit, abdominal tenderness, fever and moderate leukocytosis (11.93 × 10; neutrophils 78.5%). Acute appendicitis was suspected and a surgical approach was chosen with a McBurney access. The removed specimen (Figs. 1 and 2) was 11 cm long with multiple hyperaemic and oedematous diverticular protrusions. The postoperative course was regular. Discharging was on 4th postoperative day in optimal clinical conditions. The histological examination (Fig. 3) showed acute inflammation of appendiceal pseudodiverticula with acute peridiverticulitis and abscess. DISCUSSION: Currently, appendiceal diverticulitis is often overlooked with high risk of complications, above all perforation. Attention should be kept during the surgical procedure and the patholological examination in order to identify any associated neoplasm. CONCLUSION: Appendiceal diverticulitis should be considered in adult male patients with right lower quadrant pain or tenderness. Accurate appendectomy should be performed in order to permit an appropriate pathological examination and possible associate neoplasm should always be searched through. Prophylactic appendectomy should be performed in case of incidental finding of appendiceal diverticula in asymptomatic patients in order to avoid the high perforation risk. Elsevier 2017-02-20 /pmc/articles/PMC5338906/ /pubmed/28267663 http://dx.doi.org/10.1016/j.ijscr.2017.02.027 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Altieri, Maria Leonarda
Piozzi, Guglielmo Niccolò
Salvatori, Pierluigi
Mirra, Maurizio
Piccolo, Gaetano
Olivari, Natale
Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature
title Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature
title_full Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature
title_fullStr Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature
title_full_unstemmed Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature
title_short Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature
title_sort appendiceal diverticulitis, a rare relevant pathology: presentation of a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338906/
https://www.ncbi.nlm.nih.gov/pubmed/28267663
http://dx.doi.org/10.1016/j.ijscr.2017.02.027
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