A Case of Penetration of Diverticulum of the Appendix Causing Encircling Thickening of the Bladder Wall

In this study, we report two cases of appendiceal diverticulitis with perforation. Case 1 was a 50-year-old man who visited our hospital because of epigastralgia and pyrexia. He had rebound tenderness in the right lower abdominal quadrant, as well as an increased inflammatory response observed upon biological examination. Computed tomography revealed an enlarged appendix. He was diagnosed with acute appendicitis, and emergency surgery was performed. Based on pathological examination, he was finally diagnosed with appendiceal diverticulitis with perforation. Case 2 was a woman in her twenties with a chief complaint of lower abdominal pain. She had consulted a nearby gynecologist when she first experienced the pain. She presented to our hospital the next day because her symptoms had not improved, even after taking analgesic drugs. There was muscular defense in the lower abdominal quadrant, as well as an increased inflammatory response. Emergency surgery was performed, and she was diagnosed with appendiceal diverticulitis with perforation based on pathological examination. Although appendiceal diverticulitis is rare, perforation has been reported to occur with it frequently. In addition to describing our two cases, we also provide a review of the literature.

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Two Cases of Appendiceal Diverticulitis with Perforation

Kishi

Shimamura

Yoshida

et al. 2016

J St. Marianna Univ

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A Case of Diverticulitis of Appendix Diagnosed by Preoperative Tests

Sendo¹,

Nishimura²,

Nakamura³

et al. 2007

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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A Case of Diverticulitis of the Appendix Mimicking Mucocele Revealed Multilocular Cystic Lesions by Enhanced Ct Examination

Kimura¹,

Hiramatsu²,

Miyata³

et al. 2008

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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A Case of Penetration of Diverticulum of the Appendix Causing Encircling Thickening of the Bladder Wall

Abstract: A 56-year-old man complaining of pain on urination and residual sensation was referred to the hospital with a suspicion of bladder cancer.Abdominal ultrasonography and CT scan showed wall

Cited by 4 publications

References 2 publications

Two Cases of Appendiceal Diverticulitis with Perforation

Two Cases of Appendiceal Diverticulitis with Perforation

A Case of Diverticulitis of Appendix Diagnosed by Preoperative Tests

A Case of Diverticulitis of the Appendix Mimicking Mucocele Revealed Multilocular Cystic Lesions by Enhanced Ct Examination

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