Ahmad S. Hussain, MD, Oliver L. Gunter, MD, Richard S. Miller, MD, Hugo J. R. Bonatti, MD
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA (all authors).
Introduction: There is a lack of information in the literature regarding acute appendicitis in the setting of acute diverticulitis. As acute appendicitis and acute diverticulitis together make up most community-acquired complicated intra-abdominal infections, it is very likely that the provider will encounter them in the patient presenting with abdominal pain.
Case Description: We report a patient with recurrent diverticulitis who carried a codiagnosis of acute appendicitis; the appendix was laparoscopically removed, and her diverticulitis flare was managed nonoperatively.
Discussion: In the patient with a history of diverticulitis presenting with abdominal pain, a high index of suspicion for other coexisting intra-abdominal pathology must be maintained. Computed tomography offers a powerful tool to aid in diagnosis.
Key Words: Appendicitis, Diverticulitis, Laparoscopy, Surgery.