Cecal diverticulitis

Case contributed by Dr Ian Bickle

Presentation

Right iliac fossa pain. Appendicitis?

Patient Data

Age: 40 years
CT

Solitary diverticulum on the medial aspect of the cecum just inferior to the ileocecal valve.

The diverticulum is thickening with surrounding inflammatory change. No free fluid or collection.

Normal retrocecal appendix.

Normal upper abdomen.

Case Discussion

Right sided diverticulitis is much less common than other sites in the colon. The imaging appearances are identical, although the clinical presentation is more of that associated with appendicitis.

In this case a normal appendix is well illustrated.

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Case information

rID: 76773
Published: 3rd May 2020
Last edited: 10th Jan 2021
Inclusion in quiz mode: Included

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