Right-sided diverticulitis--surgical and nonsurgical treatment: two case reports and review of the literature.
Right-sided diverticulitis is difficult to distinguish from other sources of right-sided abdominal pain. Diverticula localized to the right colon occur at a rate of 6.6 to 14 per cent. Two types of diverticula have been described in the right colon on the basis of etiologic and pathologic features: multiple diverticula and solitary diverticulum of the cecum. The most common clinical presentation of right-sided colonic diverticula is an acute inflammatory complication, which is difficult to distinguish from other causes of right iliac fossa pain. We present two case reports on right-sided diverticulitis with one treated surgically and the other treated nonsurgically. The clinical manifestations, differential diagnosis and management options are discussed including a review of the literature.
Seton Hall University Residency Program at St. Francis Medical Center, Trenton, New Jersey, USA.
Alex
A
Funicello
Louis G
LG
Fares
Kulin
K
Oza
Ganapat
G
Valaulikar
Martin
M
Ernits
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D004239:Diverticulitis, Colonic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed