Distal ileal diverticulitis

Case contributed by Maulik S Patel
Diagnosis almost certain


Right-sided abdominal pain for the last 4 to 5 days. No fever/ vomiting/diarrhea.

Patient Data

Age: 35 years
Gender: Male

At the site of pain, there is an asymmetric thickening of the distal ileum. There is a hypoechoic outpouching from the thickened ileal wall. A tiny air focus is present in this hypoechoic area. Surrounding mesenteric fat is echogenic and odematous. There is no local abscess formation.

Cecum and appendix were normal.

Case Discussion

A male presented with right-sided abdominal pain for the last few days. Ultrasound shows distal ileal diverticulitis. Appendicitis which is a common diagnosis for right-sided abdominal was ruled out by ultrasound.

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