Kim, YouseungKesar, VarunGrider, Douglas J.Chitnavis, Maithili V.2021-11-152021-11-152021-11-12Youseung Kim, Varun Kesar, Douglas Grider, and Maithili V. Chitnavis, “An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis,” Case Reports in Gastrointestinal Medicine, vol. 2021, Article ID 6131015, 3 pages, 2021. doi:10.1155/2021/61310152090-6528http://hdl.handle.net/10919/106648A 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.application/pdfenCreative Commons Attribution 4.0 InternationalArticle - Refereed2021-11-14Copyright © 2021 Youseung Kim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.https://doi.org/10.1155/2021/6131015348046182090-6536