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Right-sided diverticulitis.

Vincent Zimmer1,2

  • 1Department of Medicine Marienhausklinik St. Josef Kohlhof Neunkirchen Germany.

Clinical Case Reports
|August 21, 2019
PubMed
Summary
This summary is machine-generated.

Right-sided diverticulitis is rare in Western countries. Endoscopic evaluation, specifically ileocolonoscopy, can definitively diagnose subtle cases often missed by imaging studies.

Keywords:
abdominal paincolonic diverticulosisdiverticulitis

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Right-sided diverticulitis is an infrequent condition in Western populations.
  • Existing literature lacks detailed endoscopic correlations for this condition.
  • Imaging studies often diagnose advanced cases, necessitating differentiation from appendicitis or Crohn's disease.

Purpose of the Study:

  • To highlight the diagnostic utility of endoscopy in right-sided diverticulitis.
  • To establish endoscopic findings for subtle presentations of right-sided diverticulitis.
  • To differentiate right-sided diverticulitis from other ileocolonic pathologies.

Main Methods:

  • Review of cases with right-sided diverticulitis requiring urgent ileocolonoscopy.
  • Analysis of endoscopic findings and correlation with imaging and histopathology.
  • Comparison of endoscopic diagnosis with differential diagnoses like appendicitis and Crohn's disease.

Main Results:

  • Endoscopy can provide an unequivocal diagnosis in subtle presentations of right-sided diverticulitis.
  • Ileocolonoscopy is crucial for diagnosing less apparent forms of the condition.
  • Imaging may not detect all presentations, underscoring the role of endoscopy.

Conclusions:

  • Urgent ileocolonoscopy is a reliable method for diagnosing right-sided diverticulitis.
  • Endoscopic correlation is valuable for subtle presentations.
  • Endoscopy offers a definitive diagnosis when imaging is inconclusive.