Author/Authors :
Hosseini, Saeedeh Payambar-Azam Hospital - Hormozgan University of Medical Sciences, Qeshm , Niknejad, Nakisa Department of Pathology - Besat Hospital - Hamedan University of Medical Sciences, Hamedan , Dehghan, Arash Department of Pathology - Besat Hospital - Hamedan University of Medical Sciences, Hamedan , Niknezhad, Nasim Skin Research Center - Shohada-e Tajrish Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Hedayati, Sorena Department of Pathology - Besat Hospital - Hamedan University of Medical Sciences, Hamedan
Abstract :
Diverticulosis of the appendix, as a rare and incident disorder, mimics acute or chronic
appendicitis and is characterized by herniation of the appendiceal mucosa through the muscular wall.
Symptom and laboratory data of diverticular disease usually represent chronic inflammation. In this study, a
43-year-old female with a history of right lower quadrant pain and anorexia represented abdominal tenderness
and rebound tenderness in the physical examination and normal laboratory tests. Abdominal sonography did
not show any evidence of acute appendicitis. The removed appendix was 12 cm in length and had multiple
diverticular protrusions along with it. The histologic examination showed diverticulosis without evidence of
inflammation. The patient was discharged two days later in optimal clinical condition. Diverticulosis of the
appendix often is confused with acute or chronic appendicitis based on similar presenting symptoms and
imaging studies. Although surgery is the definitive treatment of both conditions, an appropriate diagnosis of
diverticular disease before surgery is very important because of the association of appendiceal diverticular
disease with neoplasm and other complications.
