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Revista chilena de cirugía

versión On-line ISSN 0718-4026


BARRIA, CARLOS; PUJADO, BLAZENKO; ZEPEDA, NELSON  y  BELTRAN, MARCELO A. Appendiceal diverticulitis: Report of one case. Rev Chil Cir [online]. 2008, vol.60, n.2, pp.154-157. ISSN 0718-4026.

The incidence of appendiceal diverticulitis varies from 0.004% to 2.1% in different series. We report a 30 years old male that consulted for 7 days of abdominal pain located at the right lower quadrant. He was operated with the diagnosis of acute appendicitis. During surgery, a distally inflamed appendix covered with fibrin was observed. Pathology reported an edematous diverticulum infiltrated by polymorphonuclear cells and periappendiceal peritonitis. The appendiceal wall was normal and the appendiceal lumen diameter was preserved. Postoperative evolution was uneventful and the patient was discharged in good conditions. Appendiceal diverticulitis manifest as insidious abdominal pain lasting 1 to 14 days before surgery. Some patients had previous episodes of pain. Abdominal ultrasound and computed tomography are unspecific for the diagnosis of appendiceal diverticulitis and the treatment is just the same as for acute appendicitis: appendectomy

Palabras clave : Appendiceal diverticulitis; acute appendicitis; atypical appendicitis.

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