Patel A, Abbas A, Bhattacharyya R, Galaktionova D
School of Medicine, Rowan University School of Osteopathic Medicine, Stratford, NJ, USA.
St. Joseph's University Medical Center, Department of Surgery, Paterson, NJ, USA.
J Surg Case Rep. 2022 May 31;2022(5):rjac248. doi: 10.1093/jscr/rjac248. eCollection 2022 May.
Appendiceal diverticula present as rare clinical finding and are most confused with acute appendicitis. A 65-year-old female was presented to our surgical service after 1 day of right lower quadrant abdominal pain and a computed tomography evaluation, read as a diagnosis of acute appendicitis. Due to the location and quality of pain and intraoperative findings acute appendicitis was our preliminary diagnosis. Follow up with histopathology confirmed acute inflammation of an appendiceal diverticulum. With discordance in original diagnosis from final pathological evaluation, we suggest appendiceal diverticula as an important differential to consider in patients of similar clinical presentation. Surgical treatment with appendectomy and final histological diagnosis are essential in the proper treatment of this rare clinical finding.
阑尾憩室是一种罕见的临床发现，最常与急性阑尾炎相混淆。一名65岁女性在出现右下腹疼痛1天后前来我院外科就诊，计算机断层扫描评估结果诊断为急性阑尾炎。由于疼痛的部位和性质以及术中发现，急性阑尾炎是我们的初步诊断。组织病理学随访证实为阑尾憩室急性炎症。由于最初诊断与最终病理评估不一致，我们建议对于临床表现相似的患者，阑尾憩室是一个需要考虑的重要鉴别诊断。阑尾切除术的手术治疗和最终的组织学诊断对于正确处理这一罕见的临床发现至关重要。
