The pathogenesis and treatment of appendicitis and diverticulitis are well established in the field of surgery. It has been taught that nonperforating disease may evolve into perforating disease and that in the case of appendicitis, early surgical intervention may prevent the complications that result from perforation. In the accompanying article, Livingston et al hypothesize that acute nonperforating appendicitis and acute nonperforating diverticulitis are different manifestations of the same disease occurring in childhood and adulthood, respectively, and that both should be treated conservatively.
Assifi MM, Hines OJ. Appendicitis Equals Diverticulitis: A Challenge to Traditional DogmaComment on “Epidemiological Similarities Between Appendicitis and Diverticulitis Suggesting a Common Underlying Pathogenesis”. Arch Surg. 2011;146(3):315. doi:10.1001/archsurg.2011.1