Appendiceal diverticulum diagnosed after appendectomy: Two case reports and literature review.

IF 0.7 Q4 SURGERY International Journal of Surgery Case Reports Pub Date : 2025-02-01 Epub Date: 2025-01-20 DOI:10.1016/j.ijscr.2025.110916
Souad Ghattas, Faten Mohtar, Jad El Bitar, Georges Gandour, Marwan Haddad, Nazem Matta
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Abstract

Introduction: Appendiceal diverticulitis is an uncommon pathology that imitates acute appendicitis and is usually treated by appendicectomy.

Cases presentation: We present two cases: a 50-year-old female patient and a 35-year-old male patient, both of whom presented with signs and symptoms of acute appendicitis and were managed accordingly. Final pathological examination confirmed the presence of an appendiceal diverticulum.

Clinical discussion: Diverticulitis of the appendix is four times more likely to lead to perforation when compared to appendicitis and may be associated with underlying neoplasm. Therefore, it is extremely important to distinguish diverticulitis of the appendix from appendicitis.

Conclusion: Clinicians should always consider appendiceal diverticulitis when evaluating patients with right-sided, lower quadrant abdominal pain.

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阑尾切除术后诊断为阑尾憩室:2例报告及文献复习。
阑尾憩室炎是一种罕见的类似急性阑尾炎的病理,通常通过阑尾切除术来治疗。病例介绍:我们报告两例病例:一名50岁的女性患者和一名35岁的男性患者,他们都表现出急性阑尾炎的体征和症状,并进行了相应的治疗。最终病理检查证实存在阑尾憩室。临床讨论:阑尾憩室炎导致穿孔的可能性是阑尾炎的四倍,并可能与潜在的肿瘤有关。因此,区分阑尾憩室炎与阑尾炎是极其重要的。结论:临床医生在评估右侧、下腹腹痛患者时应考虑阑尾憩室炎。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
1116
审稿时长
46 days
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