Presentation
Right-sided abdominal pain. TLC 11.8
Patient Data
Diffuse mural thickening involving the caecum with preserved mural enhancement.
There is a focal hyperdense protrusion along the posterior wall of the caecum, with a more local inflammatory process with stranding of fat planes and mild paracolic fluid. No signs of perforation, obstruction or abscess formation.
Associated multiple small paracolic and iliocolic inflammatory lymph nodes.
The appendix is normal.
Case Discussion
CT features of moderate inflammatory process at the caecum with underlying caecal diverticulitis.
Right sided colonic diverticulitis is less common than the descending colon and sigmoid. The clinical presentation mimics acute appendicitis. CT scan is also important to differentiate a complicated diverticular disease from colon carcinoma since the management differs.