A Rare Entity: Coexistence of Acute Appendicitis and Cecal Diverticulitis

Abstract

In this case report, we wanted to present the diagnostic and treatment process of a patient who was diagnosed with acute appendicitis in the preoperative period, was taken to surgery, and was diagnosed with cecum diverticulitis in the perioperative period. A 36-year-old female patient was admitted to our emergency department with complaints of abdominal pain, nausea, and loss of appetite for 3 days. Abdominal pain started in the lower right abdomen and gradually increased in severity as the day passed. On physical examination, there was defense and rebound localized to the lower right quadrant of the abdomen. In the laboratory, the white blood cell count was within normal limits (7.4 10*9 L-1) and the c-reactive protein (CRP) level was 79 mg L-1 (0-5 mg L-1). On abdominal ultrasonography, the diameter of the appendix vermiformis was measured as 8.5 mm, and it was observed that there was increased echogenicity in the fatty tissue around the appendix vermiformis. The patient was taken to emergency surgery. During exploration, the appendix was observed to be oedematous. Additionally, diverticulitis was observed in the anterior wall of the cecum, close to the ileocecal area. Simultaneous appendectomy and diverticulectomy were performed. The patient was discharged without complications on the 4th postoperative day.