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Case Reports in Emergency Medicine
Volume 2017, Article ID 2563218, 3 pages
https://doi.org/10.1155/2017/2563218
Case Report

Medical Approach to Right Colon Diverticulitis with Perforation

1Department of Emergency Medicine, Rowan University-SOM/Kennedy University Hospital, Stratford, NJ, USA
2Department of Surgery, Rowan University-SOM/Kennedy University Hospital, Stratford, NJ, USA

Correspondence should be addressed to James Espinosa; moc.loa@010mij

Received 18 May 2017; Revised 15 August 2017; Accepted 27 August 2017; Published 2 October 2017

Academic Editor: Vasileios Papadopoulos

Copyright © 2017 James Espinosa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.