Acute perforated diverticulitis
Case contributed by:
Dr Jeremy Jones
Presentation:
Right iliac fossa pain and localised guarding. Possible perforated appendicitis.
Patient Data:
Age: 66
Gender: Female
Race: Caucasian
From the case:
Acute perforated diverticulitis
Plain films - in emergency department
Modality:
X-ray
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Acute perforation with gas under the right hemidiaphragm
Acute perforation, but no obstruction.
Acute perforated diverticulitis with a pericolonic abscess anterior to the sigmoid colon.
Case Discussion:
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.
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