• Duray Seker, Gaye Seker, Sahin Kahramanca, Mujdat Gurler, and Ata Turker.
• Clinic of General Surgery, Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, Turkey.
• J Emerg Med. 2013 Jan 1;44(1):e61-2.

BackgroundDiverticulosis and diverticulitis of appendix vermiformis is a rare diagnosis. Clinical and laboratory examinations do not show a difference between a progressing diverticulitis and simplex appendicitis. But this entity has a higher mortality rate than common appendicitis.ObjectiveThis case is presented to illustrate the point that preoperative simple diagnosis of acute appendicitis according to the clinical signs and physical examination may not only be insufficient, but could be fatal in certain circumstances, like appendiceal diverticulitis, if surgical intervention is delayed.Case ReportHere we present a female patient with a history of right lower abdominal pain and fever of 3 days duration. She was diagnosed with acute appendicitis according to the preoperative physical, laboratory, and imaging examinations. The appendiceal diverticulitis accompanying acute appendicitis was an intraoperative finding, which was proven by histopathologic examination.ConclusionIt is not easy to document this entity preoperatively. When diagnosed either preoperatively by imaging studies or intraoperatively, the only choice is appendectomy to prevent its serious complications.Copyright © 2013 Elsevier Inc. All rights reserved.

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