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