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Right-sided diverticulitis mimics appendicitis.

Thomas Gilmore¹, Charlton Jordan, Elisabeth Edelstein

¹Department of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.

The Journal of Emergency Medicine

|October 15, 2011

Summary

This summary is machine-generated.

Right-sided diverticulitis, a common condition in Asian societies, mimics appendicitis with right lower quadrant pain. Early diagnosis via CT scan is crucial to avoid unnecessary surgery.

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Area of Science:

Gastroenterology
Surgical Diagnosis
Medical Imaging

Background:

Right-sided diverticulitis is a rare cause of right lower quadrant pain in Western countries but common in Asian societies.
It presents similarly to appendicitis, with symptoms like fever, nausea, and pain in the right lower quadrant.
Diagnosis is critical as it can be mistaken for appendicitis, leading to potential unnecessary surgery.

Observation:

A 26-year-old Asian woman presented with right lower quadrant pain and fever.
Initial clinical suspicion pointed towards appendicitis.
Computed tomography (CT) scan confirmed right-sided diverticulitis.

Findings:

The patient received intravenous antibiotics and bowel rest.
Her symptoms of right-sided diverticulitis resolved within three days.
CT imaging proved effective in diagnosing right-sided diverticulitis.

Implications:

Right-sided diverticulitis is a benign condition that can be managed non-surgically.
Accurate diagnosis through CT imaging is vital to differentiate it from appendicitis.
This approach helps prevent unnecessary surgical interventions in patients, particularly young Asian females.