An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis
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 rec...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/6131015 |
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| author | Youseung Kim Varun Kesar Douglas Grider Maithili V. Chitnavis |
| author_facet | Youseung Kim Varun Kesar Douglas Grider Maithili V. Chitnavis |
| author_sort | Youseung Kim |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-bb34cf97c72f4827a08b6696ebaa2598 |
| institution | Kabale University |
| issn | 2090-6536 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-bb34cf97c72f4827a08b6696ebaa25982025-02-03T01:04:37ZengWileyCase Reports in Gastrointestinal Medicine2090-65362021-01-01202110.1155/2021/6131015An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal DiverticulitisYouseung Kim0Varun Kesar1Douglas Grider2Maithili V. Chitnavis3Virginia Tech Carilion School of MedicineVirginia Tech Carilion School of MedicineVirginia Tech Carilion School of MedicineVirginia Tech Carilion School of MedicineA 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.http://dx.doi.org/10.1155/2021/6131015 |
| spellingShingle | Youseung Kim Varun Kesar Douglas Grider Maithili V. Chitnavis An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis Case Reports in Gastrointestinal Medicine |
| title | An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis |
| title_full | An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis |
| title_fullStr | An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis |
| title_full_unstemmed | An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis |
| title_short | An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis |
| title_sort | alarming mimicry of intra abdominal infections acute appendiceal diverticulitis |
| url | http://dx.doi.org/10.1155/2021/6131015 |
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