Appendicitis with diverticulosis

Case contributed by Dr Mohamed Adel Sherif


Right iliac fossa pain and tenderness.

Patient Data

Age: 29
Gender: Male

Dilated noncompressible aperistaltic retrocecal appendix, 15 mm in diameter, with multiple (about three) wall diverticular outpouching showing muscular layer defects.

Minimal localized fluid collection.

No mass formation.  

Long dilated (measuring 15.8 mm) retrocecal appendix with multiple wall irregularities an diverticulae, with minimal surrounding fat stranding.

Normal cecum and right colon. No diverticulosis.

Case Discussion

29 year old male patient, presented by deep right iliac fossa pain and tenderness. Imaging (US and CT) was suggestive of appendicitis with appendiceal diverticulosis.

Histopathology after appendectomy: Low grade neuroendocrine tumor (T1NxMx) measures 5 mm at the base of the appendix. The residual appendix shows appendicitis and diverticulitis.

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Case information

rID: 47693
Published: 1st Sep 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded

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