Acute perforated diverticulitis
Right iliac fossa pain and localised guarding. Possible perforated appendicitis.
Plain films - in emergency department
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Acute perforation, but no obstruction.
Acute diverticulitis has numerous complications including perforation, abscess formation and fistulation to adjacent structures, e.g. bladder and uterus.
it is important to recognise that not all right iliac fossa pain is appendicitis and that pre-operative CT is helpful for the surgeon, especially when in cases of atypical appendicitis or where the patient is ourwith the normal demographic.