Acute perforated diverticulitis

Case contributed by Dr Jeremy Jones

Presentation

Right iliac fossa pain and localised guarding. Possible perforated appendicitis.

Patient Data

Age: 65
Gender: Female

Plain films - in emergency department

Modality: X-ray

Acute perforation, but no obstruction.

Subsequent CT scan prior to theatre

Modality: CT

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 outside the normal demographic.

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Case Information

rID: 14306
Case created: 14th Jul 2011
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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