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Objectives <p>We report a&#xa0;case of a&#xa0;40-year-old female patient admitted to our department with abdominal pain in the right lower quadrant associated with abdominal tenderness, leukocytosis, and elevated inflammatory markers. She was observed in the hospital with similar symptoms in the past with successful medical treatment. The current literature is also reviewed.</p> Methods <p>The abdominal ultrasound failed to visualize the appendix. However, the CT scans revealed that the appendix was located deep in the pelvis with an atypical, irregular, thickened wall with pericaecal fluid. Laparoscopic appendectomy was completed. The specimen showed features of diverticulitis of the appendix, as also proved histopathologically. We describe the successful surgical treatment of a rare pathology imitating acute appendicitis, providing reassurance about the effective management of appendiceal diverticulitis.</p> Results <p>The postoperative course was uneventful, and the patient was discharged on the second postoperative day in optimal clinical conditions.</p> Conclusion <p>Diverticulitis of the appendix is an uncommon cause of pain in the right lower quadrant. Understanding its clinical behavior is essential for managing it, whether it presents symptomatically or is an incidental finding.</p>

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Appendiceal Diverticulitis: A Case Report and Literature Review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月30日

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  • Martin Dubovský,
  • Arpád Panyko,
  • Marianna Hajská,
  • Marko Horváth,
  • Alexander Mayer,
  • Marián Vidiščák

摘要

Objectives

We report a case of a 40-year-old female patient admitted to our department with abdominal pain in the right lower quadrant associated with abdominal tenderness, leukocytosis, and elevated inflammatory markers. She was observed in the hospital with similar symptoms in the past with successful medical treatment. The current literature is also reviewed.

Methods

The abdominal ultrasound failed to visualize the appendix. However, the CT scans revealed that the appendix was located deep in the pelvis with an atypical, irregular, thickened wall with pericaecal fluid. Laparoscopic appendectomy was completed. The specimen showed features of diverticulitis of the appendix, as also proved histopathologically. We describe the successful surgical treatment of a rare pathology imitating acute appendicitis, providing reassurance about the effective management of appendiceal diverticulitis.

Results

The postoperative course was uneventful, and the patient was discharged on the second postoperative day in optimal clinical conditions.

Conclusion

Diverticulitis of the appendix is an uncommon cause of pain in the right lower quadrant. Understanding its clinical behavior is essential for managing it, whether it presents symptomatically or is an incidental finding.