Cargando…
A Case of a Rare, Incidental Discovery of Fibrous Obliteration of an Appendiceal Diverticulum
Diverticulosis of the appendix (DA) is rare and frequently found incidentally. Some cases are discovered after presenting with similar symptomatology to acute appendicitis, whereas other cases may be completely silent. Fibrous obliteration (FO) is a histologic finding indicative of cellular prolifer...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9358985/ https://www.ncbi.nlm.nih.gov/pubmed/35949759 http://dx.doi.org/10.7759/cureus.26681 |
_version_ | 1784764043690508288 |
---|---|
author | Jenkins, Joshua K Morrow, Colton A Chaudhary, Shweta Brashear, Jeffery H |
author_facet | Jenkins, Joshua K Morrow, Colton A Chaudhary, Shweta Brashear, Jeffery H |
author_sort | Jenkins, Joshua K |
collection | PubMed |
description | Diverticulosis of the appendix (DA) is rare and frequently found incidentally. Some cases are discovered after presenting with similar symptomatology to acute appendicitis, whereas other cases may be completely silent. Fibrous obliteration (FO) is a histologic finding indicative of cellular proliferation secondary to relapses of subclinical inflammatory processes. We report a case of a 75-year-old female with a history of chronic, intermittent abdominal pains who presented to the general surgery clinic after an abnormal thickening of the appendix was discovered on abdominal and pelvic computed tomography imaging. The patient underwent laparoscopic appendectomy for suspicion of malignancy. The histologic evaluation of the specimen demonstrated a diverticulum at the distal end of the appendix with FO of the lumen. We suspect the chronic nature of her disease course may have led to the FO of the diverticulum. An extensive literature search was performed, which revealed no other cases of FO of appendiceal diverticula. This may be the first case of diverticulosis of the appendix with FO in the English medical literature. If DA is discovered early with non-invasive imaging, surgical excision should be performed prophylactically as an association with an increased risk of perforation and neoplastic progression has been found. |
format | Online Article Text |
id | pubmed-9358985 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-93589852022-08-09 A Case of a Rare, Incidental Discovery of Fibrous Obliteration of an Appendiceal Diverticulum Jenkins, Joshua K Morrow, Colton A Chaudhary, Shweta Brashear, Jeffery H Cureus Gastroenterology Diverticulosis of the appendix (DA) is rare and frequently found incidentally. Some cases are discovered after presenting with similar symptomatology to acute appendicitis, whereas other cases may be completely silent. Fibrous obliteration (FO) is a histologic finding indicative of cellular proliferation secondary to relapses of subclinical inflammatory processes. We report a case of a 75-year-old female with a history of chronic, intermittent abdominal pains who presented to the general surgery clinic after an abnormal thickening of the appendix was discovered on abdominal and pelvic computed tomography imaging. The patient underwent laparoscopic appendectomy for suspicion of malignancy. The histologic evaluation of the specimen demonstrated a diverticulum at the distal end of the appendix with FO of the lumen. We suspect the chronic nature of her disease course may have led to the FO of the diverticulum. An extensive literature search was performed, which revealed no other cases of FO of appendiceal diverticula. This may be the first case of diverticulosis of the appendix with FO in the English medical literature. If DA is discovered early with non-invasive imaging, surgical excision should be performed prophylactically as an association with an increased risk of perforation and neoplastic progression has been found. Cureus 2022-07-09 /pmc/articles/PMC9358985/ /pubmed/35949759 http://dx.doi.org/10.7759/cureus.26681 Text en Copyright © 2022, Jenkins 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 | Gastroenterology Jenkins, Joshua K Morrow, Colton A Chaudhary, Shweta Brashear, Jeffery H A Case of a Rare, Incidental Discovery of Fibrous Obliteration of an Appendiceal Diverticulum |
title | A Case of a Rare, Incidental Discovery of Fibrous Obliteration of an Appendiceal Diverticulum |
title_full | A Case of a Rare, Incidental Discovery of Fibrous Obliteration of an Appendiceal Diverticulum |
title_fullStr | A Case of a Rare, Incidental Discovery of Fibrous Obliteration of an Appendiceal Diverticulum |
title_full_unstemmed | A Case of a Rare, Incidental Discovery of Fibrous Obliteration of an Appendiceal Diverticulum |
title_short | A Case of a Rare, Incidental Discovery of Fibrous Obliteration of an Appendiceal Diverticulum |
title_sort | case of a rare, incidental discovery of fibrous obliteration of an appendiceal diverticulum |
topic | Gastroenterology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9358985/ https://www.ncbi.nlm.nih.gov/pubmed/35949759 http://dx.doi.org/10.7759/cureus.26681 |
work_keys_str_mv | AT jenkinsjoshuak acaseofarareincidentaldiscoveryoffibrousobliterationofanappendicealdiverticulum AT morrowcoltona acaseofarareincidentaldiscoveryoffibrousobliterationofanappendicealdiverticulum AT chaudharyshweta acaseofarareincidentaldiscoveryoffibrousobliterationofanappendicealdiverticulum AT brashearjefferyh acaseofarareincidentaldiscoveryoffibrousobliterationofanappendicealdiverticulum AT jenkinsjoshuak caseofarareincidentaldiscoveryoffibrousobliterationofanappendicealdiverticulum AT morrowcoltona caseofarareincidentaldiscoveryoffibrousobliterationofanappendicealdiverticulum AT chaudharyshweta caseofarareincidentaldiscoveryoffibrousobliterationofanappendicealdiverticulum AT brashearjefferyh caseofarareincidentaldiscoveryoffibrousobliterationofanappendicealdiverticulum |