Episodic Abdominal Pain-An Unexpected Cause for a Common Clinical Problem.

Böttger, Tim William; Turina, Matthias; Ensle, Falko; Mihic-Probst, Daniela; Meier, Christoph Andreas; Ersözlü, Sara · J Gen Intern Med · 2024

case_report · Level V

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Abstract

A previously healthy 55-year-old male patient presented repeatedly to the emergency department with severe episodic periumbilical abdominal pain. After an extensive diagnostic work-up and subsequent clinical deterioration, appendiceal diverticulitis was diagnosed. We identified a correlation of white blood cell counts and possibly faecal calprotectin with the clinical presentation. We suggest that appendiceal diverticulitis should be considered in middle-aged patients with recurrent episodes of abdominal pain that correlate with laboratory markers of inflammation.

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