TITLE

Appendiceal diverticulitis

AUTHOR(S)
Kabiri, Hamed; Clarke, Leon C.; Tzarnas, Chris D.; Clarke, Leon E
PUB. DATE
March 2006
SOURCE
American Surgeon;Mar2006, Vol. 72 Issue 3, p221
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
The incidence of appendiceal diverticulitis in pathologic specimens is 0.004 to 2.1 per cent and is unusual in younger patients. Despite being first described in 1893, this condition is commonly dismissed by surgeons and pathologists as a variant of true appendicitis. However, appendiceal diverticulitis is a discrete clinical process that must be considered in the appropriate setting because of the much higher risk of perforation. The average age is older, the pain is often intermittent, and although it can be localized in the right lower abdominal quadrant, it is of longer duration. Although no further treatment in addition to appendectomy is needed, it is important that surgeons be aware of this condition, as the clinical presentation can be different from the classical acute appendicitis picture. Patients often seek medical treatment much later than those with classic appendicitis, and if there is a delay in establishing the correct diagnosis, perforation within the mesentery is found at the time of operation. Also, it is often mistakenly identified as carcinoma and it has higher rate of perforation and a longer convaslescence. We describe a case of a 42-year-old man and review the literature.
ACCESSION #
19947666

 

Related Articles

  • Appendico-cutaneous fistula. Koak, Y.; Jeddy, T. A.; Giddings, A. E. B. // Journal of the Royal Society of Medicine;Dec1999, Vol. 92 Issue 12, p639 

    The article describes a case of an older man aged 79 who was diagnosed with appendico-cutaneous fistula. Appendico-cutaneous fistula is thought to result from perforation of the appendix into the anterior abdominal wall, due to either of acute appendicitis or of fecolith obstruction of the...

  • Periappendicitis: Is it a Clinical Entity? Mukherjee, Asish; Schlenker, Evelyn; LaMasters, Teresa; Johnson, Melissa; Brunz, Jamie; Thomas, Eric // American Surgeon;Oct2002, Vol. 68 Issue 10, p913 

    The aim of this study was to identify clinical parameters that may help distinguish periappendicitis from the more common clinical entity of acute appendicitis. Serosal inflammation of the appendix without mucosal involvement constitutes the condition known as periappendicitis. In most...

  • Appendicitis.  // Mayo Clinic Health Letter;Sep1999, Vol. 17 Issue 9, p7 

    Provides information on appendicitis. Myths; Signs and symptoms; Contraindications when seeking treatment; Surgery.

  • Appendix Attack. Lew, Kristi // Current Health 1;Feb2009, Vol. 32 Issue 6, p15 

    The article offers information on appendicitis and its symptoms.

  • McBurney's sign.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1415 

    A definition of the medical term "McBurney's sign" which refers to the rigidity and tenderness at McBurney's point which could be a symptom of appendicitis is presented.

  • mesoappendicitis.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1450 

    A definition of the term "mesoappendicitis" is presented, which refers to the inflammation of the mesoappendix.

  • Appendicitis not always an easy call. Donohue, Paul G. // Adirondack Daily Enterprise;8/9/2010, Vol. 117 Issue 187, p6 

    The article provides an answer to a question on appendicitis.

  • Presentation of possible relapse in a patient with history of DLBCL: Classic imaging features of epiploic appendagitis. Dy, Irene; Tanaka, Iwao; Sara, Gabriel; Rovner, Deborah; Ghesani, Munir // Hem/Onc Today;6/10/2010, Vol. 11 Issue 11, p6 

    The article discusses the clinical case of a 59-year-old man who was diagnosed with appendicitis epiploica.

  • Appendicitis: Why So Complicated? Analysis of 5755 Consecutive Appendectomies. Pittman-Waller, Virginia A.; Myers, John G.; Stewart, Ronald M.; Dent, Daniel L.; Page, Carey P.; Gray, Gina A.; Pruitt Jr., Basil A.; Root, Harlan D. // American Surgeon;Jun2000, Vol. 66 Issue 6, p548 

    A perceived high rate of complicated (gangrenous or perforated) appendicitis, despite advances in laboratory and radiographic diagnostic modalities, prompted a review of our experience with appendicitis followed by a prospective analysis that examined the time course from presentation to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics