Ascending colonic diverticulum mimicking acute appendicitis

Case contributed by Dr Slobodan Torbica

Presentation

Sudden pain in the right side of the abdomen, with high fever (38.5°C). Laboratory analysis: WBC 13.08; Ne 10.81; CRP 117.

Patient Data

Age: 30 years
Gender: Male

Ultrasound revealed ascending colon wall outpouching and thickening along with underlying fatty tissue hyperechogenicity in keeping with diverticulitis.

CT confirmed previously established diagnosis of ascending colon diverticulitis.

Case Discussion

In younger adult populations, besides appendicitis (the most common cause of pain in the right side of the abdomen) you should also think about diverticulosis or omental infarct which can mimic appendicitis symptoms.

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Case information

rID: 69943
Published: 6th Aug 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Clinical Center of Vojvodina Novi Sad

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