Clin Ultrasound.  2019 Nov;4(2):89-92. 10.18525/cu.2019.4.2.89.

Appendiceal Diverticulitis

• Son J
• Shin D

• KMID: 2555115
• DOI: http://doi.org/10.18525/cu.2019.4.2.89

Abstract

Appendiceal diverticulitis is an uncommon cause of right lower quadrant abdominal pain. Mostly, it is considered as acute appendicitis because the clinical presentation of the appendiceal diverticulitis is similar to acute appendicitis; therefore it is diagnosed by appendectomy and a pathologic specimen. The patients with appendiceal diverticulitis have higher rates of perforation. Also, they need longer operation times and longer postoperative hospital stays. They are relatively old and have a longer duration of symptoms. We report a 64-year-old male case of appendiceal diverticulitis with perforation. It was diagnosed by ultrasound and confirmed by a surgical specimen. Preoperative diagnosis of appendiceal diverticulitis is not impossible using high resolution ultrasound equipment. Although there are limits to diagnosing appendiceal diverticulitis by ultrasound, we must give particular attention to a clinical setting which makes it possible.

Keyword

충수 게실염; 급성 충수염; 충수절제술; 초음파; Appendiceal diverticulitis; Acute appendicitis; Appendectomy; Ultrasound