Ergenç Muhammer, Uprak Tevfik Kıvılcım
General Surgery, Istanbul Sultanbeyli State Hospital, Istanbul, TUR.
General Surgery, Marmara University School of Medicine, Istanbul, TUR.
Cureus. 2022 Mar 10;14(3):e23050. doi: 10.7759/cureus.23050. eCollection 2022 Mar.
Introduction 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.
引言 阑尾憩室病（DDA）是一种罕见的阑尾病变。它通常表现类似急性阑尾炎。由于其罕见性，人们对DDA了解甚少。本研究评估阑尾切除术后诊断的阑尾憩室炎的发病率、临床和病理特征。方法 我们对2016年1月至2022年1月在伊斯坦布尔苏丹贝利市立医院普通外科门诊接受阑尾切除术的患者进行了回顾性分析。分析了以下参数：年龄和性别、术前诊断、实验室检查结果、影像学检查结果、手术技术、标本的组织病理学检查以及并发症。结果 共分析了1586例患者。在病理检查中，10例患者（0.63%）检测到阑尾憩室病。DDA患者的平均年龄为34.4岁，男女比例为4:1。我们在一名患者中检测到低度阑尾黏液性肿瘤。结论 阑尾憩室炎罕见，通常表现为急性阑尾炎。大多数DDA是在术后偶然发现的，并与阑尾肿瘤风险增加有关。应仔细对阑尾切除标本进行组织病理学检查以检测阑尾憩室病。
