Appendiceal diverticulitis

We report the case of a 56-year-old man with episodic right lower quadrant abdominal pain. Preoperative evaluation included computed tomography (CT) showing a right lower quadrant phlegmon consistent with cecal diverticulitis or appendicitis. The patient was treated with a short course of bowel rest...

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Veröffentlicht in:Southern medical journal (Birmingham, Ala.) Ala.), 2000, Vol.93 (1), p.76-79
Hauptverfasser: PLACE, R. J, SIMMANG, C. L, HUBER, P. J
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SIMMANG, C. L
HUBER, P. J
description We report the case of a 56-year-old man with episodic right lower quadrant abdominal pain. Preoperative evaluation included computed tomography (CT) showing a right lower quadrant phlegmon consistent with cecal diverticulitis or appendicitis. The patient was treated with a short course of bowel rest and antibiotics. Four weeks later, he had an appendectomy. The patient was found to have chronic appendiceal diverticulitis and recovered uneventfully. Histopathologic studies revealed herniated mucosa through the muscular layer associated with chronic inflammation and marked fibrosis. These findings represent appendiceal diverticulitis. Diverticulosis of the appendix is believed to be uncommon and roentgenologic diagnosis of appendiceal diverticular disease is rarely made. We discuss the diagnosis and CT findings of appendiceal diverticulitis and present a thorough review of the literature.
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subjects Appendectomy
Appendix
Biological and medical sciences
Cecal Diseases - diagnosis
Cecal Diseases - pathology
Cecal Diseases - surgery
Diverticulitis - diagnosis
Diverticulitis - pathology
Diverticulitis - surgery
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Other diseases. Semiology
title Appendiceal diverticulitis
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