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International Journal of Case Reports in Surgery
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2025, Vol. 7, Issue 2, Part D

The importance of appendiceal diverticulum as an incidental finding on routine histopathology: Case report with literature review


Author(s): Radomir Gelevski, Gjorgji Jota, Blagica Krsteska, Vladimir Andreevski, Bojan Trenchikj and Radomir Jovchevski

Abstract: Appendiceal diverticulum is an uncommon but clinically significant finding, most often identified incidentally on routine histopathological examination. Its importance lies in the increased risk of perforation, its association with neoplasia, and its potential to complicate acute appendicitis presentations. We present the case of a 48-year-old female with phlegmonous appendicitis and an incidental diverticulum, managed surgically with appendectomy. Histopathology confirmed a pseudodiverticulum in the appendiceal tip. This case underscores the relevance of diverticula in shifting otherwise uncomplicated appendicitis toward complicated disease pathways. A literature review highlights the divergent and hybrid concepts of appendicitis pathogenesis, the relationship between diverticula and neoplasms, and the clinical implications for follow-up and surveillance. Awareness among surgeons and pathologists can improve recognition and guide management of this rare but consequential entity.

DOI: 10.22271/27081494.2025.v7.i2d.221

Pages: 210-214 | Views: 306 | Downloads: 94

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International Journal of Case Reports in Surgery
How to cite this article:
Radomir Gelevski, Gjorgji Jota, Blagica Krsteska, Vladimir Andreevski, Bojan Trenchikj, Radomir Jovchevski. The importance of appendiceal diverticulum as an incidental finding on routine histopathology: Case report with literature review. Int J Case Rep Surg 2025;7(2):210-214. DOI: 10.22271/27081494.2025.v7.i2d.221
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