A rare presentation of appendiceal diverticulitis associatedwith pelvic pseudocyst

Hirotaka Niwa, Niwa H, Hiramatsu T, Takeyuki Hiramatsu
World journal of gastroenterology · 2008 · vol. 14(8) , pp. 1293 · doi:10.3748/wjg.14.1293 · PMID:18300360 · PMC2690682 · W2029198198
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This case report describes appendiceal diverticulitis presenting as recurrent right lower quadrant pain and a subsequent pelvic pseudocyst in a 32-year-old woman.

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Abstract

We report a case of a 32-year-old woman with episodic right lower quadrant abdominal pain. With the diagnosis of either acute appendicitis or tubo-ovarian abscess, she was treated with antibiotics, which successfully relieved the pain and the inflammatory findings. She repeated the clinical condition a few times and antibiotics worked each time. In a year, her subjective symptoms became milder, however, a giant pelvic cyst appeared. She had an exploratory laparotomy to confirm this diagnosis. Histopathological studies revealed herniated appendiceal mucosa through the muscular layer associated with chronic inflammation and marked fibrosis. Gynecological disorders such as endometriosis or lutein cyst rupture was denied. These findings represent appendiceal diverticulitis. We discuss the clinical features of the disease and its relation with the pelvic pseudocyst.

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Condition tags

endometriosis

MeSH descriptors

Appendix Cysts Diverticulitis Gastroenterology Gastrointestinal Diseases Abdominal Pain Adult Anti-Bacterial Agents Anti-Bacterial Agents Appendix Cysts Diagnosis, Differential Diverticulitis Female Gastroenterology Gastrointestinal Diseases Humans Inflammation Pelvis Pelvis

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