Publication: Appendiceal diverticulitis presenting as acute appendicitis and diagnosed after appendectomy
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Date
2022-03-01
Authors
UPRAK, TEVFİK KIVILCIM
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Abstract
IntroductionIntroduction
Diverticular disease of the appendix (DDA) is a rare appendiceal pathology. It is usually present similar to
acute appendicitis. Because of its rarity, the DDA is poorly comprehended. This study evaluates the
incidence, clinical and pathological characteristics of appendiceal diverticulitis diagnosed after
appendectomy.
Methods
We performed a retrospective analysis of patients who underwent appendectomy between January 2016 and
January 2022 at the Istanbul Sultanbeyli State Hospital General Surgery Clinic. The following parameters
were analyzed: age and gender, preoperative diagnosis, laboratory results, radiological imaging findings,
surgical technique, histopathological examination of specimens, and complications.
Results
A total of 1586 patients were analyzed. In the pathology, diverticular disease of the appendix was detected
in 10 patients (0.63%). The DDA patients’ mean age was 34.4 years, and the male to female ratio was 4:1. We
detected low-grade appendiceal mucinous neoplasia in one of our patients.
Conclusion
Appendiceal diverticulitis is rare and usually presents as acute appendicitis. Most DDAs are detected
incidentally during the postoperative period and are associated with an increased risk of appendiceal
neoplasm. Appendectomy specimens should be carefully examined histopathologically to detect diverticular
disease of the appendix.
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Keywords
Tıp, Sağlık Bilimleri, Temel Tıp Bilimleri, Medicine, Health Sciences, Fundamental Medical Sciences, TIP, GENEL & DAHİLİ, Klinik Tıp, Klinik Tıp (MED), MEDICINE, GENERAL & INTERNAL, CLINICAL MEDICINE, Clinical Medicine (MED), Family Practice, Fundamentals and Skills, General Health Professions, Pathophysiology, Internal Medicine, Assessment and Diagnosis, Medicine (miscellaneous), General Medicine, diverticulosis of the appendix, appendiceal diverticulitis, diverticulitis of the appendix, diverticulitis, appendiceal diverticulosis, appendectomy, acute appendicitis, appendicular diverticulitis, diverticular disease of the appendix, CLINICAL CHARACTERISTICS, DISEASE, : diverticulosis of the appendix, diverticulitis of the appendix, diverticulitis, appendiceal diverticulosis, appendectomy, acute appendicitis, appendicular diverticulitis, diverticular disease of the appendix, diverticulosis of the appendix
Citation
Ergenc M., UPRAK T. K., "Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy", CUREUS JOURNAL OF MEDICAL SCIENCE, cilt.14, sa.3, 2022