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Episodic Abdominal Pain—An Unexpected Cause for a Common Clinical Problem

  • Tim William Böttger,
  • Matthias Turina,
  • Falko Ensle,
  • Daniela Mihic-Probst,
  • Christoph Andreas Meier,
  • Sara Ersözlü

摘要

A previously healthy 55-year-old male patient presented repeatedly to the emergency department with severe episodic periumbilical abdominal pain. After an extensive diagnostic work-up and subsequent clinical deterioration, appendiceal diverticulitis was diagnosed. We identified a correlation of white blood cell counts and possibly faecal calprotectin with the clinical presentation. We suggest that appendiceal diverticulitis should be considered in middle-aged patients with recurrent episodes of abdominal pain that correlate with laboratory markers of inflammation.