{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:41:50Z","timestamp":1747190510416,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T00:00:00Z","timestamp":1636675200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Gastrointestinal Medicine"],"published-print":{"date-parts":[[2021,11,12]]},"abstract":"<jats:p>A 65-year-old woman presented with three days of colicky abdominal pain. Abdominal imaging illustrated small bowel enteritis, ascites in both paracolic gutters, and incidental hepatic steatosis. Although ascites fluid demonstrated high neutrophil count consistent with peritonitis and the patient received adequate antibiotics, she clinically deteriorated. Subsequent exploratory laparotomy revealed necrotic appendix and multiple intra-abdominal abscesses. Histopathology showed acute suppurative appendicitis with multiple other intact small diverticula, indicating likely perforation of inflamed appendiceal diverticula with subsequent abscess formation and abdominal peritonitis. This case highlights the importance of ascites fluid analysis and continued clinical correlation, especially in cases of rare entities with atypical presentations.<\/jats:p>","DOI":"10.1155\/2021\/6131015","type":"journal-article","created":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T19:05:08Z","timestamp":1636743908000},"page":"1-3","source":"Crossref","is-referenced-by-count":0,"title":["An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9154-0568","authenticated-orcid":true,"given":"Youseung","family":"Kim","sequence":"first","affiliation":[{"name":"Virginia Tech Carilion School of Medicine, Department of Internal Medicine, Roanoke, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varun","family":"Kesar","sequence":"additional","affiliation":[{"name":"Virginia Tech Carilion School of Medicine, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Roanoke, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6346-094X","authenticated-orcid":true,"given":"Douglas","family":"Grider","sequence":"additional","affiliation":[{"name":"Virginia Tech Carilion School of Medicine, Department of Internal Medicine, Roanoke, VA, USA"},{"name":"Virginia Tech Carilion School of Medicine, Department of Basic Science Education, Roanoke, VA, USA"},{"name":"Dominion Pathology Associates, Roanoke, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maithili V.","family":"Chitnavis","sequence":"additional","affiliation":[{"name":"Virginia Tech Carilion School of Medicine, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Roanoke, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-832702"},{"key":"2","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1177\/1066896909332728","article-title":"Diverticulosis and diverticulitis of the appendix","volume":"17","author":"B. 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