Case history
Case history #1
A 57-year-old woman with a history of hypertension and hypercholesterolaemia presents to the accident and emergency department with a 24-hour history of gradually worsening left-lower quadrant abdominal pain associated with nausea and vomiting. Prior to this episode, the patient did not have any significant gastrointestinal (GI) problems, except slight constipation and occasional dyspepsia after heavy meals. She felt feverish but did not take her temperature. Her family history is negative for GI disorders.
Case history #2
A 32-year-old obese, but otherwise healthy, man presents to the accident and emergency department with onset of acute lower abdominal pain of 2-hour duration. He has no fever and there is no history of any previous significant illness, except loud snoring, possible sleep apnoea, and being overweight.
Other presentations
Right-sided diverticular disease is more common among the Asian population, and in younger, male patients, compared with left-sided disease.[7][8][9][10] Its presentation often mimics acute appendicitis but usually patients do not describe any prodromal symptoms as they would in acute appendicitis. Patients present with acute right lower quadrant abdominal pain and tenderness lateral to McBurney’s point. Symptoms include fever, nausea, and vomiting. In complicated right-sided diverticulitis, patients may have a palpable right lower abdominal tender mass or signs of peritonitis. Diverticular disease may also present with rectal bleeding.
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