Medical Approach to Right Colon Diverticulitis with Perforation. (2nd October 2017)

• Record Type: Journal Article
• Authors: Espinosa, James; Sharma, Rahul; Lucerna, Alan; Stranges, Doug
• Other Names: Papadopoulos Vasileios Academic Editor.
• Is Part Of: Case reports in emergency medicine. Volume 2017(2017)
• Publication Date: 2017-10-02
• Subjects: Emergency medicine -- Periodicals; Emergency Medicine; Emergency medicine; Periodicals; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 616.025
• DOI: 10.1155/2017/2563218
• Languages: English
• ISSNs: 2090-648X

Abstract

Abstract : We report a case of a 71-year-old female who presented with right lower quadrant (RLQ) abdominal pain and was diagnosed on CT scan with right-sided diverticulitis with perforation. She was admitted under the surgical service after consultation and received intravenous fluids, intravenous antibiotics, and pain medications as needed. The patient was discharged 2 days after admission in stable condition with follow-up with gastroenterology. The differential diagnosis of right lower quadrant abdominal pain is vast. Right-sided diverticulitis often presents in a manner similar to appendicitis. In the absence of peritonitis, conservative treatment may be possible. It is predictable that as the population ages, the incidence of right-sided diverticular disease will increase and will result in more presentations of acute right-sided diverticulitis to the emergency department (ED). The aim of this case report is to increase awareness of the incidence, pathophysiology, presentation, work-up (laboratory studies and imaging), and management (medical and surgical) of right-sided diverticulitis among emergency physicians.