Appendix diverticulosis in a patient diagnosed on pathology after laparoscopic appendectomy for appendicular mucinous mass—case report and literature review

Author:

Alghamdi Wejdan A1ORCID,Roublah Alaa A1,Almaghrabi Jaudah2,Alabbas Haytham H1

Affiliation:

1. General Surgery Department, King Faisal Special Hospital & Research Center, Jeddah 21499, Saudi Arabia

2. Pathology Department, King Faisal Special Hospital & Research Center, Jeddah 21499, Saudi Arabia

Abstract

Abstract Diverticulum of the appendix is uncommon cause of right iliac fossa pain and inflammation with delayed diagnosis and high risk of complications, as it mimics acute appendicitis. Here we present a case of an elderly male patient who had lung cancer post-treatment. During the follow-up, appendicle lesion was discovered and suspected to be mucinous appendix. The pathology reported after appendectomy as appendicular diverticulosis without evidence of malignancy. As appendicular diverticulum is best confirmed by pathology, still its clinical presentation is difficult to be distinguished from other appendicular diseases. It is frequently linked to increased risk of cancer, particularly carcinoid tumors and mucinous adenomas.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference15 articles.

1. Acute appendiceal diverticulitis diagnosed in the postoperative context of appendectomy;Frade;Int Surg J,2021

2. Appendiceal diverticulitis in a young female diagnosed on pathology after laparoscopic appendectomy for acute appendicitis;Onafowokan;J Geophys Res Earth Surf,2021

3. Appendiceal diverticular disease: a 10-year retrospective study of cases from tertiary hospitals in Western Australia;Toh;Chirurgia,2020

4. Diverticular disease of the appendix;Lipton;Surg Gynecol Obstet,1989

5. Diverticulosis and diverticulitis of the appendix;AbdullGaffar;Int J Surg Pathol,2009

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