Bujold-Pitre Kristopher, Mailloux Olivier
Faculty of Medicine, Laval University, 2325 rue de l'Université, Québec, QC G1V 0A6, Canada.
J Surg Case Rep. 2021 Oct 26;2021(10):rjab488. doi: 10.1093/jscr/rjab488. eCollection 2021 Oct.
Appendiceal diverticulitis is a rare diagnostic most often mistaken for an acute appendicitis. A 72-year-old man presented with a transfixing abdominal pain for 48 hours. Appendicitis was diagnosed on computed tomography scan, but a neoplasm could not be excluded. A laparoscopic hemicolectomy was performed after a surgical consensus considering the neoplastic appearance of the lesion and anatomical feature. Histopathology finally revealed an appendiceal diverticulitis. Appendiceal diverticulum is a rare condition. Most will lead to an appendiceal diverticulitis, which present similarly to an appendicitis. Perforation rate and mortality rate are much higher in appendiceal diverticulitis than in appendicitis. Furthermore, appendiceal diverticular disease is strongly associated with neoplasms, especially mucinous neoplasms and thus pseudomyxoma peritonei. Considering the high complication rate and malignant association, an appendicectomy in case of an appendiceal diverticulitis or of an incidental finding of appendiceal diverticulosis should be recommended to the patient.
阑尾憩室炎是一种罕见的诊断，最常被误诊为急性阑尾炎。一名72岁男性出现持续性腹痛48小时。计算机断层扫描诊断为阑尾炎，但不能排除肿瘤。考虑到病变的肿瘤外观和解剖特征，经手术会诊后进行了腹腔镜半结肠切除术。组织病理学最终显示为阑尾憩室炎。阑尾憩室是一种罕见的病症。大多数会导致阑尾憩室炎，其表现与阑尾炎相似。阑尾憩室炎的穿孔率和死亡率远高于阑尾炎。此外，阑尾憩室病与肿瘤密切相关，尤其是黏液性肿瘤，进而与腹膜假黏液瘤相关。鉴于高并发症率和恶性关联，对于阑尾憩室炎患者或偶然发现阑尾憩室病的患者，应建议进行阑尾切除术。
