Cecal diverticulitis

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

RIF pain for one week associated with nausea, vomiting. Tender at RIF.

Patient Data

Age: 60 years
Gender: Female
ct

Small volume of free fluid in the inferior right paracolic gutter with fat stranding adjacent to the posterior aspect of the cecum, which is mildly thick-walled, and appearing centered on an inflamed diverticulum with a few other noninflamed diverticula present. Normal terminal ileum. Normal appendix. No abscess. No free gas. 

Case Discussion

Right iliac fossa pain has a very broad differential. One of the most common causes appendicitis although in older patients other gastrointestinal causes such as diverticulitis and colorectal cancer become relatively more common. 

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