Two day history of right lower quadrant abdominal pain and tenderness.
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The appendix is of normal calibre and measures 5.9mm.
Diverticulosis of the sigmoid, stranding of the meso-sigmoid, thickened fundus of the urinary bladder, mild thickening medial wall of the caecum and stranding of the meso-appendix is seen. Subcentimetre right colic lymph nodes observed.
Post inflammatory changes in the right hypochondrium with associated peri-appendiceal and peri-vesical inflammatory changes secondary to sigmoid diverticulitis resulted in a more unusual presentation of right lower quadrant abdominal pain and tenderness.
The patient was subsequently admitted under the general surgical team with intravenous metronidazole and ceftriaxone.