Cecal diverticulitis

Case contributed by Dr Maulik S Patel

Presentation

Right-sided, lower abdominal, non-shifting pain for the last few days.

Patient Data

Age: 40 years
Gender: Male
Ultrasound

The appendix shows normal diameter (< 6 mm) and compressibility. The cecum and the terminal ileum show circumferential wall thickening. There is an outpouching from the medial cecal wall inferior to the ileocecal junction. The outpouching shows a hypoechoic wall with internal air foci. It is surrounded by edematous, echogenic fat. There are subcentimeter-sized ovoid pericolic nodes, hypervascularity without any local fluid collection.

Case Discussion

An adult male presented with a non-shifting right-sided lower abdominal pain. The ultrasound shows cecal diverticulitis at the site of maximum pain/ tenderness. Later a CT scan was done which favored non-perforated cecal diverticulitis. The patient was treated conservatively.

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Case information

rID: 88377
Published: 6th Apr 2021
Last edited: 6th Apr 2021
Inclusion in quiz mode: Included

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