Ahmed Youssef Assaad, Manna Rawan, Thomas Priya, Mohamedahmed Ali Yasen, Eccersley James
General Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Trust, Burton on Trent, GBR.
Histopathology, University Hospitals of Derby and Burton NHS Trust, Burton on Trent, GBR.
Cureus. 2024 Dec 12;16(12):e75575. doi: 10.7759/cureus.75575. eCollection 2024 Dec.
The differential diagnoses for patients presenting with right iliac fossa pain are broad, with appendicitis almost always on the top of the list. Although rare, diverticulosis of the appendix, complicated by inflammation, should be considered in these patients. We report a case of a middle-aged female with right iliac fossa pain with a high inflammatory marker. CT of the abdomen and pelvis showed uncomplicated appendicitis. The patient underwent a diagnostic laparoscopy, which confirmed an inflamed appendix and three small nodules in the body of the appendix. An appendectomy was performed, and histopathology showed diverticulosis of the appendix with appendicitis. She recovered uneventfully, and the follow-up colonoscopy was normal. This report illustrates the complexities associated with diverticular disease of the appendix and its potential to mimic appendicitis and highlights the importance of histopathology examination in these cases.
以右下腹疼痛就诊的患者鉴别诊断范围广泛，阑尾炎几乎总是排在首位。虽然罕见，但阑尾憩室病合并炎症时，这些患者也应予以考虑。我们报告一例中年女性，因右下腹疼痛且炎症标志物升高就诊。腹部和盆腔CT显示为单纯性阑尾炎。患者接受了诊断性腹腔镜检查，证实阑尾发炎且阑尾体部有三个小结节。行阑尾切除术，组织病理学显示阑尾憩室病合并阑尾炎。她恢复顺利，后续结肠镜检查正常。本报告说明了阑尾憩室病的复杂性及其模拟阑尾炎的可能性，并强调了这些病例中组织病理学检查的重要性。
