Two Cases of Diverticulum of the Vermiform Appendix

Yusuke Uno, Takaaki Iwase, Kazuo Nishiura, Hideo Takahashi, Masamori Yasuda*, Yoshinobu Maeda*

Department of Surgery, Hokuriku Central Hospital
*Department of First Pathology, Toyama Medical and Pharmaceutical University

Diverticulosis of the vermiform appendix is relatively rare. We experienced two cases of diverticulum of the vermiform appendix. The first patient was an 85-year-old man who was admitted to our hospital with the complaint of right lower quadrant pain. Appendectomy was performed under the diagnosis of acute appendicitis. A perforated diverticulum was found at the base of the appendix. The diverticulum was acquired type. The second patient was a 60-year-old man who visited our hospital for a health care examination. A barium enema revealed numerous diverticula in the whole colon and 14 diverticula in the appendix. A diverticulum of the vermiform appendix has a frequent risk of perforation. Therefore, appendectomy is recommended to the patient with a symptomatic or asymptomatic diverticulum of the vermiform appendix to prevent panperitonitis.

Key words
diverticulosis of the vermiform appendix, perforation of the diverticulum of the vermiform appendix

Reprint requests
Yusuke Uno Department of Surgery, Hokuriku Central Hospital
2124-1 Hanyu, Oyabe City, 932 JAPAN

Accepted
July 6, 1994

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