This patient had no previous medical record and no history of abdominal surgery. He presented at the emergency room 12 hours after onset of contionuous abdominal pain affecting the lower right quadrant. Physical examination revealed localized RLQ rebound tenderness. The patient was referred for a CT examination to confirm the clinical suspicion of appendicitis.
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There is a blind-ending, tubular structure with thick, contrast enhancing walls adjacent to and actually connected to the distal ileum. The structure is surrounded by stranding of intra-abdominal fat.
The patient was treated conservatively with oral antibiotics. Follow-up CT after one month showed total resolution of inflammatory changes around the diverticulum and no sign of small bowel obstruction.