title: Is surgery necessary to confirm diagnosis of right-sided diverticulitis in spite of relevant clinical and radiological findings?
abstract: BACKGROUND
  Diverticulosis of the right colon is an uncommon entity. Aim of the present study was to report outcome in patients with right-sided diverticulitis diagnosed using computed tomography (CT) and treated conservatively.
  
  
  METHODS
  Twelve patients with clinical and radiological diagnosis of cecal or right-sided diverticulitis who were treated conservatively between February 2013 and December 2014 were included. Demographic and clinical data were retrospectively analyzed.
  
  
  RESULTS
  Female to male ratio was 1:1 with mean age of 45.08±14.4 years. Mean length of symptom history before admission was 2.08±1.3 days. Most common presenting symptom was right lower abdominal pain, seen in 72.7% of the patients. Abdominal ultrasound alone was performed for 10 patients, and 2 also had abdominal CT. Mean duration of hospitalization was 2.8±1.5 days. All patients were successfully treated with medical therapy. There was no recurrence during mean follow-up period of 8.2±5.6 months.
  
  
  CONCLUSIONS
  If uncomplicated diverticulitis of the right colon is correctly diagnosed with radiological evaluation, antibiotic therapy and bowel rest should be considered as treatment modality, as there was no recurrence observed in short-term follow-up period and this option presents advantage of avoiding surgical intervention.
authors.forename: Erkan
authors.initials: E
authors.lastname: Yardımcı
authors.forename: Mustafa
authors.initials: M
authors.lastname: Hasbahçeci
authors.affiliation: Department of General Surgery, Bezmialem Vakıf University Faculty of Medicine, İstanbul-Turkey. oguzidiz@yahoo.com.
authors.forename: Ufuk Oğuz
authors.initials: UO
authors.lastname: İdiz
authors.forename: Musa
authors.initials: M
authors.lastname: Atay
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Akbulut
mesh_terms: D015746:Abdominal Pain; D000328:Adult; D015331:Cohort Studies; D004238:Diverticulitis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome