An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis.
Journal
Case reports in gastrointestinal medicine
ISSN: 2090-6528
Titre abrégé: Case Rep Gastrointest Med
Pays: United States
ID NLM: 101580185
Informations de publication
Date de publication:
2021
2021
Historique:
received:
22
05
2021
revised:
24
10
2021
accepted:
30
10
2021
entrez:
22
11
2021
pubmed:
23
11
2021
medline:
23
11
2021
Statut:
epublish
Résumé
A 65-year-old woman presented with three days of colicky abdominal pain. Abdominal imaging illustrated small bowel enteritis, ascites in both paracolic gutters, and incidental hepatic steatosis. Although ascites fluid demonstrated high neutrophil count consistent with peritonitis and the patient received adequate antibiotics, she clinically deteriorated. Subsequent exploratory laparotomy revealed necrotic appendix and multiple intra-abdominal abscesses. Histopathology showed acute suppurative appendicitis with multiple other intact small diverticula, indicating likely perforation of inflamed appendiceal diverticula with subsequent abscess formation and abdominal peritonitis. This case highlights the importance of ascites fluid analysis and continued clinical correlation, especially in cases of rare entities with atypical presentations.
Identifiants
pubmed: 34804618
doi: 10.1155/2021/6131015
pmc: PMC8604594
doi:
Types de publication
Case Reports
Langues
eng
Pagination
6131015Informations de copyright
Copyright © 2021 Youseung Kim et al.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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