Unusual association of diseases/symptoms
An unusual presentation of caecal diverticulitis
1 Derby City General Hospital, Surgery, Uttoxeter Road, Derby, DE22 3NE, UK
2 Derby City General Hospital, Uttoxeter Road, Derby, DE22 3NE, UK
3 King’s Mill Hospital, Mansfield Road, Sutton-in-Ashfield, NG17 4JL, UK
Correspondence to:
Naveen Kachroo, drnaveenkachroo{at}hotmail.co.uk
Solitary caecal diverticulitis is a rare and often misdiagnosed cause of abdominal pain. A 63-year-old Caucasian woman was admitted with a 3-day history of left upper quadrant pain and constipation. Preoperative imaging identified a possible transverse colonic tumour. At laparotomy a long, mobile ascending colon resulted in the caecal pole lying in the left upper quadrant and an inflamed gangrenous solitary caecal diverticulum was found. A right hemicolectomy was performed and the patient recovered promptly.
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