title: Right-sided diverticulitis mimics appendicitis.
abstract: BACKGROUND
  Right-sided diverticulitis is a rare source of right lower quadrant pain in Western society; however, it is quite common in Asian societies. Right-sided diverticulitis presents very similarly to appendicitis, with right lower quadrant pain, fever, nausea, and laboratory abnormalities, and is often seen in young patients.
  
  
  OBJECTIVE
  In this report, we present a case of right-sided diverticulitis. We review right-sided diverticulitis' diagnosis and management. It is important to diagnose right-sided diverticulitis because it is a good mimic of appendicitis and ideally should be diagnosed before a patient has unnecessary surgery.
  
  
  METHODS
  A 26-year-old Asian woman presented for evaluation of right lower quadrant pain and fever. She was initially thought to have appendicitis clinically, but had right-sided diverticulitis diagnosed by computed tomography (CT) scan. She was admitted and received intravenous antibiotics and bowel rest. Her right-sided diverticulitis resolved in 3 days.
  
  
  CONCLUSIONS
  Severe right lower quadrant pain in young patients of Asian descent can be right-sided diverticulitis. Right-sided diverticulitis is a benign condition managed medically that mimics appendicitis. CT imaging seems to be the best way to avoid unnecessary surgery.
authors: Department of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
authors: Thomas
authors: T
authors: Gilmore
authors: Charlton
authors: C
authors: Jordan
authors: Elisabeth
authors: E
authors: Edelstein
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001064:Appendicitis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004239:Diverticulitis, Colonic / Q000000981:diagnostic imaging* / Q000188:drug therapy; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents