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Surgical rarities: case report of appendicular diverticulitis and literature review
Appendicular diverticulosis is a rare condition observed in about 0.004–2% of all appendectomy specimens. Risk of perforation/bleeding is high and a relevant association with mucinous neoplasms is known. Appendectomy is indicated even in case of occasional finding. We present the case of a 22-year-o...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9252475/ https://www.ncbi.nlm.nih.gov/pubmed/35794996 http://dx.doi.org/10.1093/jscr/rjac319 |
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author | Bonomo, Luca Domenico Zago, Marcello Quirico, Claudia Ottinetti, Antonio Panzera, Filippo Galli, Alessandra Gattoni, Luca Canova, Gualtiero Nicotera, Antonella |
author_facet | Bonomo, Luca Domenico Zago, Marcello Quirico, Claudia Ottinetti, Antonio Panzera, Filippo Galli, Alessandra Gattoni, Luca Canova, Gualtiero Nicotera, Antonella |
author_sort | Bonomo, Luca Domenico |
collection | PubMed |
description | Appendicular diverticulosis is a rare condition observed in about 0.004–2% of all appendectomy specimens. Risk of perforation/bleeding is high and a relevant association with mucinous neoplasms is known. Appendectomy is indicated even in case of occasional finding. We present the case of a 22-year-old man who entered the Emergency Room for pain in right iliac fossa. Blood tests showed only a slight increase in C-reactive protein. Abdominal ultrasound (US) evidenced an appendix with thickened walls and a rounded fluid-filled hypoechoic lesion at its distal tip. Laparoscopic appendectomy confirmed the presence of mucocele. Postoperative course was uneventful and the patients discharged on postoperative day 3. Histological examination indicated diverticulitis/peridiverticulitis of the appendix and acute suppurative appendicitis. No perforation of the diverticula was detected. No neoplastic epithelium/mucous material was observed. In our case, preoperative US proved to be a useful alternative to computed tomography for the diagnosis. |
format | Online Article Text |
id | pubmed-9252475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-92524752022-07-05 Surgical rarities: case report of appendicular diverticulitis and literature review Bonomo, Luca Domenico Zago, Marcello Quirico, Claudia Ottinetti, Antonio Panzera, Filippo Galli, Alessandra Gattoni, Luca Canova, Gualtiero Nicotera, Antonella J Surg Case Rep Case Report Appendicular diverticulosis is a rare condition observed in about 0.004–2% of all appendectomy specimens. Risk of perforation/bleeding is high and a relevant association with mucinous neoplasms is known. Appendectomy is indicated even in case of occasional finding. We present the case of a 22-year-old man who entered the Emergency Room for pain in right iliac fossa. Blood tests showed only a slight increase in C-reactive protein. Abdominal ultrasound (US) evidenced an appendix with thickened walls and a rounded fluid-filled hypoechoic lesion at its distal tip. Laparoscopic appendectomy confirmed the presence of mucocele. Postoperative course was uneventful and the patients discharged on postoperative day 3. Histological examination indicated diverticulitis/peridiverticulitis of the appendix and acute suppurative appendicitis. No perforation of the diverticula was detected. No neoplastic epithelium/mucous material was observed. In our case, preoperative US proved to be a useful alternative to computed tomography for the diagnosis. Oxford University Press 2022-07-04 /pmc/articles/PMC9252475/ /pubmed/35794996 http://dx.doi.org/10.1093/jscr/rjac319 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. 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 Bonomo, Luca Domenico Zago, Marcello Quirico, Claudia Ottinetti, Antonio Panzera, Filippo Galli, Alessandra Gattoni, Luca Canova, Gualtiero Nicotera, Antonella Surgical rarities: case report of appendicular diverticulitis and literature review |
title | Surgical rarities: case report of appendicular diverticulitis and literature review |
title_full | Surgical rarities: case report of appendicular diverticulitis and literature review |
title_fullStr | Surgical rarities: case report of appendicular diverticulitis and literature review |
title_full_unstemmed | Surgical rarities: case report of appendicular diverticulitis and literature review |
title_short | Surgical rarities: case report of appendicular diverticulitis and literature review |
title_sort | surgical rarities: case report of appendicular diverticulitis and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9252475/ https://www.ncbi.nlm.nih.gov/pubmed/35794996 http://dx.doi.org/10.1093/jscr/rjac319 |
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