Appendiceal diverticulitis and acute appendicitis: differences and similarities
Introduction: Acute appendiceal diverticulitis is an unusual cause of acute abdomen, considered clinically indistinguishable from acute appendicitis. Material and methods: In a historic cohort study with 27 cases of appendiceal diverticulitis and 54 cases of acute appendicitis, we compared clinical...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Aran Ediciones
2014-08-01
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| Series: | Revista Espanola de Enfermedades Digestivas |
| Subjects: | |
| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082014000700004&lng=en&tlng=en |
| _version_ | 1817993442992586752 |
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| author | Irene Lobo-Machín Luciano Delgado-Plasencia Ibrahim Hernández-González Alejandro Brito-García Guillermo Burillo-Putze Alberto Bravo-Gutiérrez Antonio Martínez-Riera Vicente Medina-Arana |
| author_facet | Irene Lobo-Machín Luciano Delgado-Plasencia Ibrahim Hernández-González Alejandro Brito-García Guillermo Burillo-Putze Alberto Bravo-Gutiérrez Antonio Martínez-Riera Vicente Medina-Arana |
| author_sort | Irene Lobo-Machín |
| collection | DOAJ |
| description | Introduction: Acute appendiceal diverticulitis is an unusual cause of acute abdomen, considered clinically indistinguishable from acute appendicitis. Material and methods: In a historic cohort study with 27 cases of appendiceal diverticulitis and 54 cases of acute appendicitis, we compared clinical characteristics, diagnostic tests and pathology findings of the two processes. Results: Mean age at presentation was lower in acute appendicitis (37.24 ± 19.98 vs. 54.81 ± 17.55 years, p < 0.001), with significant differences between men (33.33 ± 15.89 vs. 57 ± 18.02 years, p < 0.001) but not between women (41.76 ± 24.87 vs. 50.44 ± 16.69 years, p = 0.34). In the diverticulitis group, 48.15 % had leukocytosis vs. 81.48 % in the appendicitis group (p = 0.02); there was no difference in leukocyte count (13770.37 ± 4382.55 vs. 14279.63 ± 4268.59, p = 0.61). Patients with appendiceal diverticulitis had a higher incidence of appendiceal mucocele (p = 0.01) and a lower proportion of appendiceal gangrene (p = 0.03). There were no differences in appendiceal perforation or ulceration. Symptom duration before emergency department attendance (71.61 ± 85.25 hours vs. 36.84 ± 33.59 hours; Z = -3.1 p = 0.002), duration of surgery (85 ± 40 minutes vs. 60 ± 21 minutes, Z = -3.2, p = 0.001) and the presence of appendicular plastron was higher in patients with diverticulitis vs. appendicitis (8 vs. 5 patients (p = 0.01, Odds ratio 2.2)). Conclusions: Appendiceal diverticulitis presents a series of clinical, epidemiological and pathological differences with respect to acute appendicitis. The former shows a more indolent course with delayed diagnosis. |
| first_indexed | 2024-04-14T01:39:52Z |
| format | Article |
| id | doaj.art-ea527e2a05584c17a0000a4566430e2d |
| institution | Directory Open Access Journal |
| issn | 1130-0108 |
| language | English |
| last_indexed | 2024-04-14T01:39:52Z |
| publishDate | 2014-08-01 |
| publisher | Aran Ediciones |
| record_format | Article |
| series | Revista Espanola de Enfermedades Digestivas |
| spelling | doaj.art-ea527e2a05584c17a0000a4566430e2d2022-12-22T02:19:49ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-01082014-08-011067452458S1130-01082014000700004Appendiceal diverticulitis and acute appendicitis: differences and similaritiesIrene Lobo-Machín0Luciano Delgado-Plasencia1Ibrahim Hernández-González2Alejandro Brito-García3Guillermo Burillo-Putze4Alberto Bravo-Gutiérrez5Antonio Martínez-Riera6Vicente Medina-Arana7Hospital Universitario de CanariasHospital Universitario de CanariasHospital Universitario de CanariasHospital Universitario de CanariasHospital Universitario de CanariasHospital Universitario de CanariasHospital Universitario de CanariasHospital Universitario de CanariasIntroduction: Acute appendiceal diverticulitis is an unusual cause of acute abdomen, considered clinically indistinguishable from acute appendicitis. Material and methods: In a historic cohort study with 27 cases of appendiceal diverticulitis and 54 cases of acute appendicitis, we compared clinical characteristics, diagnostic tests and pathology findings of the two processes. Results: Mean age at presentation was lower in acute appendicitis (37.24 ± 19.98 vs. 54.81 ± 17.55 years, p < 0.001), with significant differences between men (33.33 ± 15.89 vs. 57 ± 18.02 years, p < 0.001) but not between women (41.76 ± 24.87 vs. 50.44 ± 16.69 years, p = 0.34). In the diverticulitis group, 48.15 % had leukocytosis vs. 81.48 % in the appendicitis group (p = 0.02); there was no difference in leukocyte count (13770.37 ± 4382.55 vs. 14279.63 ± 4268.59, p = 0.61). Patients with appendiceal diverticulitis had a higher incidence of appendiceal mucocele (p = 0.01) and a lower proportion of appendiceal gangrene (p = 0.03). There were no differences in appendiceal perforation or ulceration. Symptom duration before emergency department attendance (71.61 ± 85.25 hours vs. 36.84 ± 33.59 hours; Z = -3.1 p = 0.002), duration of surgery (85 ± 40 minutes vs. 60 ± 21 minutes, Z = -3.2, p = 0.001) and the presence of appendicular plastron was higher in patients with diverticulitis vs. appendicitis (8 vs. 5 patients (p = 0.01, Odds ratio 2.2)). Conclusions: Appendiceal diverticulitis presents a series of clinical, epidemiological and pathological differences with respect to acute appendicitis. The former shows a more indolent course with delayed diagnosis.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082014000700004&lng=en&tlng=enDiverticulitis apendicularApendicitis agudaAbdomen agudoCistoadenoma mucinosoMucocele apendicularCáncer colorrectal |
| spellingShingle | Irene Lobo-Machín Luciano Delgado-Plasencia Ibrahim Hernández-González Alejandro Brito-García Guillermo Burillo-Putze Alberto Bravo-Gutiérrez Antonio Martínez-Riera Vicente Medina-Arana Appendiceal diverticulitis and acute appendicitis: differences and similarities Revista Espanola de Enfermedades Digestivas Diverticulitis apendicular Apendicitis aguda Abdomen agudo Cistoadenoma mucinoso Mucocele apendicular Cáncer colorrectal |
| title | Appendiceal diverticulitis and acute appendicitis: differences and similarities |
| title_full | Appendiceal diverticulitis and acute appendicitis: differences and similarities |
| title_fullStr | Appendiceal diverticulitis and acute appendicitis: differences and similarities |
| title_full_unstemmed | Appendiceal diverticulitis and acute appendicitis: differences and similarities |
| title_short | Appendiceal diverticulitis and acute appendicitis: differences and similarities |
| title_sort | appendiceal diverticulitis and acute appendicitis differences and similarities |
| topic | Diverticulitis apendicular Apendicitis aguda Abdomen agudo Cistoadenoma mucinoso Mucocele apendicular Cáncer colorrectal |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082014000700004&lng=en&tlng=en |
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