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Diverticulitis of the appendix—case report and literature review
Appendiceal diverticulitis is a rare diagnostic most often mistaken for an acute appendicitis. A 72-year-old man presented with a transfixing abdominal pain for 48 hours. Appendicitis was diagnosed on computed tomography scan, but a neoplasm could not be excluded. A laparoscopic hemicolectomy was pe...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8557327/ https://www.ncbi.nlm.nih.gov/pubmed/34729175 http://dx.doi.org/10.1093/jscr/rjab488 |
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author | Bujold-Pitre, Kristopher Mailloux, Olivier |
author_facet | Bujold-Pitre, Kristopher Mailloux, Olivier |
author_sort | Bujold-Pitre, Kristopher |
collection | PubMed |
description | Appendiceal diverticulitis is a rare diagnostic most often mistaken for an acute appendicitis. A 72-year-old man presented with a transfixing abdominal pain for 48 hours. Appendicitis was diagnosed on computed tomography scan, but a neoplasm could not be excluded. A laparoscopic hemicolectomy was performed after a surgical consensus considering the neoplastic appearance of the lesion and anatomical feature. Histopathology finally revealed an appendiceal diverticulitis. Appendiceal diverticulum is a rare condition. Most will lead to an appendiceal diverticulitis, which present similarly to an appendicitis. Perforation rate and mortality rate are much higher in appendiceal diverticulitis than in appendicitis. Furthermore, appendiceal diverticular disease is strongly associated with neoplasms, especially mucinous neoplasms and thus pseudomyxoma peritonei. Considering the high complication rate and malignant association, an appendicectomy in case of an appendiceal diverticulitis or of an incidental finding of appendiceal diverticulosis should be recommended to the patient. |
format | Online Article Text |
id | pubmed-8557327 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-85573272021-11-01 Diverticulitis of the appendix—case report and literature review Bujold-Pitre, Kristopher Mailloux, Olivier J Surg Case Rep Case Report Appendiceal diverticulitis is a rare diagnostic most often mistaken for an acute appendicitis. A 72-year-old man presented with a transfixing abdominal pain for 48 hours. Appendicitis was diagnosed on computed tomography scan, but a neoplasm could not be excluded. A laparoscopic hemicolectomy was performed after a surgical consensus considering the neoplastic appearance of the lesion and anatomical feature. Histopathology finally revealed an appendiceal diverticulitis. Appendiceal diverticulum is a rare condition. Most will lead to an appendiceal diverticulitis, which present similarly to an appendicitis. Perforation rate and mortality rate are much higher in appendiceal diverticulitis than in appendicitis. Furthermore, appendiceal diverticular disease is strongly associated with neoplasms, especially mucinous neoplasms and thus pseudomyxoma peritonei. Considering the high complication rate and malignant association, an appendicectomy in case of an appendiceal diverticulitis or of an incidental finding of appendiceal diverticulosis should be recommended to the patient. Oxford University Press 2021-10-26 /pmc/articles/PMC8557327/ /pubmed/34729175 http://dx.doi.org/10.1093/jscr/rjab488 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Bujold-Pitre, Kristopher Mailloux, Olivier Diverticulitis of the appendix—case report and literature review |
title | Diverticulitis of the appendix—case report and literature review |
title_full | Diverticulitis of the appendix—case report and literature review |
title_fullStr | Diverticulitis of the appendix—case report and literature review |
title_full_unstemmed | Diverticulitis of the appendix—case report and literature review |
title_short | Diverticulitis of the appendix—case report and literature review |
title_sort | diverticulitis of the appendix—case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8557327/ https://www.ncbi.nlm.nih.gov/pubmed/34729175 http://dx.doi.org/10.1093/jscr/rjab488 |
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