The international surgical journal with global reach

Snapshot quiz 14/6

Published: 04/25/2014

Authors: Coe P, Iqbal J, Rudralingam V and Duff S

This image shows caecal diverticular disease (arrowheads) with an associated stricture of the ileocaecal valve (arrow) causing small bowel obstruction. Right-sided colonic diverticulitis is rare in the Western population, representing just 1–3.6 per cent of cases of acute diverticulitis. Complications such as diverticular stricture are considered equivalent to left-sided diverticular disease. Small bowel obstruction secondary to acute diverticulitis of the sigmoid colon is well described but is typically seen in the proximal ileum or distal jejunum, and is usually secondary to inflammation.