{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:10:07Z","timestamp":1745770207989,"version":"3.40.4"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>An 81-year-old man with a medical history significant for diverticulosis and irritable bowel syndrome presented to the emergency department with a 1-day history of periumbilical pain that woke him from sleep and ultimately localised to his right lower quadrant. He reported nausea, anorexia and chills but denied vomiting, diarrhoea, melena, hematochezia or fever. His physical exam was notable for focal tenderness at McBurney's point. Diagnostic information included a normal white blood cell count and an abdominal CT scan that demonstrated a normal appendix with no other pathology noted. The patient opted to proceed with laparoscopy where a normal appendix was found. The caecum, however, contained a large ischaemic diverticulum not noted on CT scan. Following laparoscopic ileocecectomy, pathology demonstrated haemorrhage, inflammation, oedema and full thickness necrosis of the caecal wall. Recovery was uneventful; the patient was discharged from the hospital 3\u2005days following surgery.<\/jats:p>","DOI":"10.1136\/bcr-2013-008939","type":"journal-article","created":{"date-parts":[[2013,7,26]],"date-time":"2013-07-26T16:30:33Z","timestamp":1374856233000},"page":"bcr2013008939","source":"Crossref","is-referenced-by-count":0,"title":["Ischaemic diverticular disease may mimic acute appendicitis"],"prefix":"10.1136","volume":"2013","author":[{"given":"Kara Lee","family":"Gallagher","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,7,26]]},"reference":[{"key":"2025042708533079000_2013.jul26_1.bcr2013008939.1","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/S0140-6736(04)15597-9","article-title":"Diverticular disease of the colon","volume":"2013","author":"Stollman","year":"2004","journal-title":"Lancet"},{"key":"2025042708533079000_2013.jul26_1.bcr2013008939.2","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1007\/s003840050219","article-title":"Diverticulitis: the effect of age and location on the course of disease","volume":"2013","author":"Reisman","year":"1999","journal-title":"Int J Colorectal Dis"},{"key":"2025042708533079000_2013.jul26_1.bcr2013008939.3","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1097\/00000658-194901000-00012","article-title":"Acute diverticulitis of the cecum: report of three cases diagnosed preoperatively as acute appendicitis","volume":"2013","author":"Henry","year":"1949","journal-title":"Ann Surgery"},{"key":"2025042708533079000_2013.jul26_1.bcr2013008939.4","first-page":"16","article-title":"Cecal diverticulitis mimicking acute appendicitis: a report of 4 cases","volume":"2013","author":"Karapete","year":"2008","journal-title":"World J Emerg Surg"},{"key":"2025042708533079000_2013.jul26_1.bcr2013008939.5","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1097\/RCT.0b013e3180340991","article-title":"Appendiceal diverticulitis: diagnosis and differentiation from usual acute appendicitis using computed tomography","volume":"2013","author":"Lee","year":"2007","journal-title":"J Comput Assist Tomogr"},{"key":"2025042708533079000_2013.jul26_1.bcr2013008939.6","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1148\/rg.265045191","article-title":"Multi-detector row CT: spectrum of diseases involving the ileocecal area","volume":"2013","author":"Hoeffel","year":"2006","journal-title":"Radiographics"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008939","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T15:53:39Z","timestamp":1745769219000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008939"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,26]]},"references-count":6,"alternative-id":["10.1136\/bcr-2013-008939"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008939","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,7,26]]}}}