Perforated sigmoid diverticulum mimicking acute appendicitis in a young patient: a case report.
Acute colonic diverticula are uncommon in patients <40 years of age, with an incidence between 2% and 10%. In such patients, the condition may be misdiagnosed in the acute setting, because it is often not considered and may be mistaken for acute appendicitis, particularly if there are predominantly right-sided signs. As a result, it may result in diagnostic delay and complications. We report a case of a young patient who presented with a perforated sigmoid diverticulum mimicking acute appendicitis, which was not diagnosed initially, and the resulting course of events.
Srirangalingam
Shyamala
S
Department of General Surgery, West Middlesex University Hospital, London, United Kingdom. sri04@doctors.org.uk
Balasubramanian
Rajesh K
RK
Rodway
Alex
A
Somasundaram
Santhosh
S
Vashisht
Rajiv
R
D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D004241:Diverticulum, Colon / Q000175:diagnosis*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis*; D008297:Male; D012810:Sigmoid Diseases / Q000175:diagnosis*