Non-Meckel’s Ileal Diverticulitis with Perforation: a Rare Cause of Acute Right Lower Quadrant Pain

Raet, Jan De; Brugman, Thomas M.; Geukens, A

doi:10.1080/00015458.2010.11680574

“…Ileal diverticulitis is an uncommon entity, occurring with an incidence of 0.1-1.5% [1]. Ileal diverticula are false diverticula when compared with the more common true Meckel's diverticulum occurring in the ileum.…”

Section: Discussionmentioning

confidence: 99%

“…For those who present with complications such as bleeding, obstruction or perforation, surgical intervention is required. The procedure involves segmental resection with primary anastomosis [1]. In conclusion, ileal diverticulitis, although rare, should be included as a differential in all cases of right lower quadrant pain.…”

Section: Discussionmentioning

confidence: 99%

Uncommon Terminal Ileum Diverticulitis for Right Lower Quadrant Pain

Kim¹,

Ryu²,

Kim³

et al. 2018

Clin Ultrasound

0

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We report an interesting case of ileal diverticulitis which posed a diagnostic challenge. A 75-year-old female presented to the emergency department with severe right lower quadrant pain for 3 days. The clinical history, examination and imaging suggested a diagnosis of acute appendicitis. The patient was taken to the operating room for an open appendectomy. The intra-operative findings demonstrated a large mass at the ileocecal junction involving the appendix as well as multiple nodular masses in the ileum and cecum. The patient underwent a right hemicolectomy with ileocecal anastomosis. The pathology result revealed Ileal diverticulitis. Ileal diverticulitis is a rare form of diverticulitis. It can often mimic other processes such as acute appendicitis. Once ileal diverticulitis is diagnosed, it should be treated with the same principles as for sigmoid diverticulitis. Though rare, ileal diverticulitis should be considered in the differential diagnosis of a patient who presents with right lower quadrant pain, and a computed tomography scan that shows an inflammatory process in the right lower quadrant, in the setting of a normal appendix.

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“…상장간막 혈전정맥염(superior mesenteric venous thrombophlebitis)은 장관 염증병변의 합병증으로 발생하는 드문 질환이다( 1 ). 특히 게실염(diverticulitis) 중에서도 말단 회장(terminal ileum)의 게실염은 약 1%의 발병률을 보이는 드문 질환으로( 2 ), 이로 인한 상장간막 혈전정맥염은 매우 드물다.…”

Section: 서론unclassified

“…Belhassen-García 등( 1 )은 장관 내 염증 질환이 장간막 혈전정맥염을 일으키는 빈도는 0.6%로 드물고( 1 ), 그 질병들 중 게실염에 의한 장간막 정맥염 환자 발생률은 1년에 100000명당 2.7명으로 보고하였다( 1 3 4 6 7 ). 게실염 중에서도 말단 회장의 게실염 빈도는 0.1~1.5%로 낮고( 2 ), 이로 인한 혈전정맥염에 대한 증례는 국내에 보고된 바 없다.…”

Section: 고찰unclassified

Superior Mesenteric Venous Thrombophlebitis with Terminal Ileal Diverticulitis: A Case Report

박

¹

,

김

²

,

이

³

2020

J Korean Soc Radiol

0

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Mesenteric venous thrombophlebitis secondary to inflammatory processes such as diverticulitis and appendicitis is a rare disease; however, it can nonetheless cause bowel ischemia and infarctions. Radiologic diagnosis is vital for mesenteric venous thrombophlebitis complicated with diverticulitis due to its non-specific clinical presentation and very low incidence. We report a case of a 61-year-old woman with superior mesenteric vein thrombosis and ileocecal diverticulitis on CT, which was resolved after treatment with a combination of antibiotic therapy and right hemicolectomy.

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Ileal diverticulitis: an uncommon diagnosis for right lower quadrant pain

Kleyman

¹

,

Logue

²

,

Lau

³

et al. 2012

Journal of Surgical Case Reports

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We report an interesting case of ileal diverticulitis which posed a diagnostic challenge. A 75-year-old female presented to the emergency department with severe right lower quadrant pain for 3 days. The clinical history, examination and imaging suggested a diagnosis of acute appendicitis. The patient was taken to the operating room for an open appendectomy. The intra-operative findings demonstrated a large mass at the ileocecal junction involving the appendix as well as multiple nodular masses in the ileum and cecum. The patient underwent a right hemicolectomy with ileocecal anastomosis. The pathology result revealed Ileal diverticulitis. Ileal diverticulitis is a rare form of diverticulitis. It can often mimic other processes such as acute appendicitis. Once ileal diverticulitis is diagnosed, it should be treated with the same principles as for sigmoid diverticulitis. Though rare, ileal diverticulitis should be considered in the differential diagnosis of a patient who presents with right lower quadrant pain, and a computed tomography scan that shows an inflammatory process in the right lower quadrant, in the setting of a normal appendix.

show abstract

Non-Meckel’s Ileal Diverticulitis with Perforation: a Rare Cause of Acute Right Lower Quadrant Pain

Cited by 6 publications

References 3 publications

Uncommon Terminal Ileum Diverticulitis for Right Lower Quadrant Pain

Uncommon Terminal Ileum Diverticulitis for Right Lower Quadrant Pain

Superior Mesenteric Venous Thrombophlebitis with Terminal Ileal Diverticulitis: A Case Report

Ileal diverticulitis: an uncommon diagnosis for right lower quadrant pain

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