Gray Riley, Danks Roy, Lesh Mackenzie, Diaz-Arias Alberto
Medicine, A.T. Still University Kirksville College of Osteopathic Medicine, Kirksville, USA.
General Surgery, Northeast Regional Medical Center, Kirksville, USA.
Cureus. 2021 Apr 14;13(4):e14488. doi: 10.7759/cureus.14488.
Diverticula are small outpouchings that form at weak points in the wall of the digestive tract. They are commonly found in the colon, and while they can occur anywhere in the digestive tract, occurrence in the appendix is rare. Here, we report the case of a young woman presenting with complaints of right lower quadrant abdominal pain. The patient's physical examination, laboratory values, and computed tomography (CT) result supported the presumptive diagnosis of uncomplicated appendicitis. The patient underwent a laparoscopic appendectomy, where an appendiceal diverticulum was appreciated. A postoperative pathology report supported the diagnosis of a true appendiceal diverticulum. The patient's symptoms improved postoperatively, and her recovery has been unremarkable. We conclude that appendiceal diverticula are often incidental findings that should be removed along with the appendix to reduce the risk of malignancy and perforation.
憩室是在消化道壁薄弱点形成的小袋状突出物。它们常见于结肠，虽然可出现在消化道的任何部位，但在阑尾中出现的情况很少见。在此，我们报告一例年轻女性主诉右下腹疼痛的病例。患者的体格检查、实验室检查值和计算机断层扫描（CT）结果支持单纯性阑尾炎的初步诊断。患者接受了腹腔镜阑尾切除术，术中发现一个阑尾憩室。术后病理报告支持真性阑尾憩室的诊断。患者术后症状改善，恢复情况良好。我们得出结论，阑尾憩室通常是偶然发现的，应与阑尾一并切除，以降低恶性肿瘤和穿孔的风险。
