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Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy

Introduction Diverticular disease of the appendix (DDA) is a rare appendiceal pathology. It is usually present similar to acute appendicitis. Because of its rarity, the DDA is poorly comprehended. This study evaluates the incidence, clinical and pathological characteristics of appendiceal diverticul...

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Autores principales: Ergenç, Muhammer, Uprak, Tevfik Kıvılcım
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001876/
https://www.ncbi.nlm.nih.gov/pubmed/35464547
http://dx.doi.org/10.7759/cureus.23050
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author Ergenç, Muhammer
Uprak, Tevfik Kıvılcım
author_facet Ergenç, Muhammer
Uprak, Tevfik Kıvılcım
author_sort Ergenç, Muhammer
collection PubMed
description Introduction Diverticular disease of the appendix (DDA) is a rare appendiceal pathology. It is usually present similar to acute appendicitis. Because of its rarity, the DDA is poorly comprehended. This study evaluates the incidence, clinical and pathological characteristics of appendiceal diverticulitis diagnosed after appendectomy. Methods We performed a retrospective analysis of patients who underwent appendectomy between January 2016 and January 2022 at the Istanbul Sultanbeyli State Hospital General Surgery Clinic. The following parameters were analyzed: age and gender, preoperative diagnosis, laboratory results, radiological imaging findings, surgical technique, histopathological examination of specimens, and complications. Results A total of 1586 patients were analyzed. In the pathology, diverticular disease of the appendix was detected in 10 patients (0.63%). The DDA patients’ mean age was 34.4 years, and the male to female ratio was 4:1. We detected low-grade appendiceal mucinous neoplasia in one of our patients. Conclusion Appendiceal diverticulitis is rare and usually presents as acute appendicitis. Most DDAs are detected incidentally during the postoperative period and are associated with an increased risk of appendiceal neoplasm. Appendectomy specimens should be carefully examined histopathologically to detect diverticular disease of the appendix.
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spelling pubmed-90018762022-04-23 Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy Ergenç, Muhammer Uprak, Tevfik Kıvılcım Cureus Pathology Introduction Diverticular disease of the appendix (DDA) is a rare appendiceal pathology. It is usually present similar to acute appendicitis. Because of its rarity, the DDA is poorly comprehended. This study evaluates the incidence, clinical and pathological characteristics of appendiceal diverticulitis diagnosed after appendectomy. Methods We performed a retrospective analysis of patients who underwent appendectomy between January 2016 and January 2022 at the Istanbul Sultanbeyli State Hospital General Surgery Clinic. The following parameters were analyzed: age and gender, preoperative diagnosis, laboratory results, radiological imaging findings, surgical technique, histopathological examination of specimens, and complications. Results A total of 1586 patients were analyzed. In the pathology, diverticular disease of the appendix was detected in 10 patients (0.63%). The DDA patients’ mean age was 34.4 years, and the male to female ratio was 4:1. We detected low-grade appendiceal mucinous neoplasia in one of our patients. Conclusion Appendiceal diverticulitis is rare and usually presents as acute appendicitis. Most DDAs are detected incidentally during the postoperative period and are associated with an increased risk of appendiceal neoplasm. Appendectomy specimens should be carefully examined histopathologically to detect diverticular disease of the appendix. Cureus 2022-03-10 /pmc/articles/PMC9001876/ /pubmed/35464547 http://dx.doi.org/10.7759/cureus.23050 Text en Copyright © 2022, Ergenç et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pathology
Ergenç, Muhammer
Uprak, Tevfik Kıvılcım
Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy
title Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy
title_full Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy
title_fullStr Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy
title_full_unstemmed Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy
title_short Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy
title_sort appendiceal diverticulitis presenting as acute appendicitis and diagnosed after appendectomy
topic Pathology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001876/
https://www.ncbi.nlm.nih.gov/pubmed/35464547
http://dx.doi.org/10.7759/cureus.23050
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