| Abstrakt: |
Diverticula of the vermiform appendix are rare entities. Although the pathogenesis and natural course of appendiceal diverticulitis (AD) are different from acute appendicitis, AD is treated like acute appendicitis because of similar clinical manifestations and low incidence. We describe cases of two male patients of different ages who respectively underwent elective laparoscopic appendectomy and an emergent laparoscopic appendectomy in a multi-speciality hospital in Kerala, India. Both of them had acute appendicitis, as confirmed by imaging and laboratory testing. Subsequent histopathological examination revealed AD. AD is an uncommon but potentially more serious form of appendiceal disease that can mimic acute appendicitis or malignancy. The first patient mimicked a malignancy with the mass presentation, while the second case presented like appendicitis. Unlike colonic diverticula, AD diverticula are typically not detectable by imaging or colonoscopy, which poses a diagnostic challenge. In patients who present with lower abdominal pain or who may have appendicitis, AD should be considered as a differential diagnosis. • Appendicular diverticulitis (AD) is a rare but significant form of appendiceal disease that can mimic acute appendicitis. • AD is a distinct disease process that presents differently from classic appendicitis in terms of age, symptom onset, surgical findings, and histopathological analysis. • Symptomatic AD is treated with appendectomy. • Subsequent histopathological examination reveals a diagnosis of AD. • AD is typically documented in case reports. [ABSTRACT FROM AUTHOR] |
