Abstract
Right‐sided diverticulitis is uncommon in Western populations with few to zero reports on endoscopic correlations. Although ultrasound or imaging studies typically detect advanced forms to be differentiated from acute appendicitis and/or Crohn’s disease, in more subtle presentations with an indication of urgent ileocolonoscopy, endoscopy may reliably establish an unequivocal diagnosis.
Highlights
A 79‐year‐old woman presented for diffuse abdominal pain and hematochezia without hemodynamic compromise
Focal inflammatory changes around a diverticulum near the ileocecal valve emerged suspicious for focal diverticulosis (Figure 1A)
This was further substantiated by semilunar ulcerations around several other right colonic diverticula with high‐grade edematous changes (Figure 1B)
Summary
Right‐sided diverticulitis uncommon in Western populations, and there is little evidence to guide clinical decisions. A 79‐year‐old woman presented for diffuse abdominal pain and hematochezia without hemodynamic compromise.
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