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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Autores principales:	Youseung Kim, Varun Kesar, Douglas Grider, Maithili V. Chitnavis
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/bb34cf97c72f4827a08b6696ebaa2598
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spelling	oai:doaj.org-article:bb34cf97c72f4827a08b6696ebaa25982021-11-22T01:10:28ZAn Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis2090-653610.1155/2021/6131015https://doaj.org/article/bb34cf97c72f4827a08b6696ebaa25982021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6131015https://doaj.org/toc/2090-6536A 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.Youseung KimVarun KesarDouglas GriderMaithili V. ChitnavisHindawi LimitedarticleDiseases of the digestive system. GastroenterologyRC799-869ENCase Reports in Gastrointestinal Medicine, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Diseases of the digestive system. Gastroenterology RC799-869 Youseung Kim Varun Kesar Douglas Grider Maithili V. Chitnavis An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis
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
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
title	An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis
title_short	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_sort	alarming mimicry of intra-abdominal infections: acute appendiceal diverticulitis
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/bb34cf97c72f4827a08b6696ebaa2598
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An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis

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