Papatriantafyllou Athanasios, Dedopoulou Paraskevi, Soukouli Konstantina, Karioris Ioannis, Tsochatzis Stylianos
Department of Surgery, General Hospital of Patras, Patras, GRC.
Cureus. 2023 Apr 4;15(4):e37123. doi: 10.7759/cureus.37123. eCollection 2023 Apr.
Acute diverticulitis is a particularly common medical entity, and its frequency increases with age. The most commonly affected part of the large intestine is the sigmoid colon, while right-sided diverticulitis is very rare. Here, we report the case of a 59-year-old man who presented to the emergency department due to acute right lower quadrant abdominal pain. The patient was diagnosed with a computed tomography scan of the abdomen with intravenous contrast with right-sided diverticulitis. The patient's treatment included hydration and intravenous antibiotics (ciprofloxacin and metronidazole). After three days of hospitalization, the patient was discharged from the hospital in stable condition and without signs of inflammation. This case report demonstrates the importance of including right-sided diverticulitis in the differential diagnosis of acute right lower quadrant abdominal pain, as in most cases patients are treated conservatively without the need for surgical intervention.
急性憩室炎是一种特别常见的病症，其发病率随年龄增长而增加。大肠最常受累的部位是乙状结肠，而右侧憩室炎非常罕见。在此，我们报告一例59岁男性因急性右下腹痛就诊于急诊科的病例。通过腹部计算机断层扫描静脉造影诊断该患者为右侧憩室炎。患者的治疗包括补液和静脉使用抗生素（环丙沙星和甲硝唑）。住院三天后，患者病情稳定出院，无炎症迹象。本病例报告表明，在急性右下腹痛的鉴别诊断中纳入右侧憩室炎很重要，因为在大多数情况下，患者接受保守治疗，无需手术干预。
