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BMJ Case Reports 2009; doi:10.1136/bcr.03.2009.1702
  • Unusual association of diseases/symptoms

An unusual presentation of caecal diverticulitis

  1. Naveen Kachroo1,
  2. Rangasamy Sivakumar2,
  3. Abdul Hakim3,
  4. David Semeraro2,
  5. William Speake2
  1. 1
    Derby City General Hospital, Surgery, Uttoxeter Road, Derby, DE22 3NE, UK
  2. 2
    Derby City General Hospital, Uttoxeter Road, Derby, DE22 3NE, UK
  3. 3
    King’s Mill Hospital, Mansfield Road, Sutton-in-Ashfield, NG17 4JL, UK
  1. Naveen Kachroo, drnaveenkachroo{at}hotmail.co.uk
  • Published 20 September 2009

Summary

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.

Footnotes

  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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