Cecal diverticulitis

Case contributed by Dr Michael P Hartung

Presentation

Right lower quadrant pain.

Patient Data

Age: 35 years
Gender: Female
CT

Single inflamed diverticulum projecting from the medial cecum with surrounding fat stranding, reactive submucosal edema of the cecum and minor inflammation of the terminal ileum. Trace ascites. Normal appendix. 

Case Discussion

Very clear imaging presentation of cecal diverticulitis which serves as a good reminder that diverticulitis can occur throughout the GI tract from the duodenum through the sigmoid colon. In this case, cecal diverticulitis is a clinical mimic for appendicitis. 

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