Appendiceal Diverticulitis; A Case Report

Ramzi, D; Oshidari, B; Hajinasrollah, E; Khoshkar, A

Appendiceal Diverticulitis; A Case Report

Document Type : Case Report

Authors

D Ramzi

B Oshidari

E Hajinasrollah

A Khoshkar

Resident of General Surgery, Shahid Beheshti University of Medical Science, Loghman Hakim Hospital, Tehran, Iran

Abstract

Diverticulitis of the appendix is an uncommon cause of right lower quadrant abdominal pain which can be symptomatic or incidentally found during surgery or barium enema. The incidence of appendiceal diverticulitis very low; however, due to their higher risk of perforation, this condition should always be assessed in patients with abdominal pain. A 52-year-old male with periumbilical colicky abdominal pain presented to the emergency department. The pain started from afternoon of the day before admission, aggravated and shifted to the right lower quadrant, gradually. The patient had tenderness, guarding, leukocytosis and fever and eventually underwent surgery. The pathologic evaluation of the appendix reported acute appendicitis with appendiceal diverticulitis. Although treatment of choice in patients with appendiceal diverticulitis is similar to that of appendicitis, which is surgical resection, but this condition should always be assessed particularly in older patients and immunocompromised subjects in whom the morbidity and mortality is higher.

Keywords

Abdominal Pain

Appendiceal Diverticulitis

Acute Appendicitis