Cecal diverticulitis

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Right iliac fossa pain. Suspected appendicitis.

Patient Data

Age: 45 years
Gender: Female
ct

A small colonic diverticulum arises from the anterior aspect of the cecum showing thick wall and surrounding fat plane smudging and enlarged pericolic nodes, in keeping with cecal diverticulitis.

Normal CT appearance of the appendix.

Annotated image

Inflammed diverticulum in the anterior aspect of the cecum (arrow).

Case Discussion

Right colonic diverticulitis is less common than sigmoid colonic diverticulitis.

Conservative treatment is recommended for right colonic diverticulitis, hence early correct diagnosis is important to prevent unnecessary laparotomy.

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