Journal List > Korean J Pediatr Gastroenterol Nutr > v.13(2) > 1043471

Korean J Pediatr Gastroenterol Nutr. 2010 Sep;13(2):193-198. Korean.
Published online September 30, 2010.
Copyright © 2010 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Ascending Colon Diverticulitis with Perforation in a Child
Joon Woo Baek, M.D., Jae Young Shin, M.D., Jee Hyun Lee, M.D., So Young Jung, M.D.,* Ah Young Jung, M.D., Jeong Won Kim, M.D., and Kon Hee Lee, M.D.
Department of Pediatrics, College of Medicine, Hallym University, Kangnam Sacred Heart Hospital, Seoul, Korea.
*Department of Surgery, College of Medicine, Hallym University, Kangnam Sacred Heart Hospital, Seoul, Korea.
Department of Radiology, College of Medicine, Hallym University, Kangnam Sacred Heart Hospital, Seoul, Korea.
Department of Pathology, College of Medicine, Hallym University, Kangnam Sacred Heart Hospital, Seoul, Korea.

Corresponding author (Email: )
Received August 06, 2010; Revised August 10, 2010; Accepted September 10, 2010.


A diverticulum is a blind pouch communicating with the gut. The term "diverticulitis" indicates inflammation of a diverticulum or diverticula, which is commonly accompanied by gross or microscopic perforation. Acute diverticuitis is a rare disorder in early childhood. Itis difficult to diagnose acute right colon diverticulitis from common causes of RLQ pain. We report a case of acute diverticulitis in the right colon in a 6-year-old girl. She complained of typical RLQ pain mimicking acute appendicitis,but was diagnosed with acute diverticulitis by CT scanning. Conservative treatment failed because of peritonitis due to perforation of an inflamed diverticulum. After the diverticulcetomy, the symptoms resolved.

Keywords: Diverticulitis; RLQ pain; Child


Fig. 1
Contrast-enhanced CT shows an outpouching structure (1.8×1.5 cm, arrow) arising from the anterior aspect of the ascending colon with a thick wall and an internal hyper-attenuating fecalith. (A) coronal view, (B) axial view.
Click for larger image

Fig. 2
Follow-up ultrasound shows aggravated fat infiltration and wall thickening adjacent to the diverticulum.
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Fig. 3
Intraoperative view of the ascending colon diverticulitis (A: ascending colon, I: terminal ileum, D: diverticulum).
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Fig. 4
Light microscopic finding shows a diverticulum, including the muscle layer (short arrow). The wall architecture of the submucosa and mucosal integrity are distorted by aggregated lymphocytes and neutrophils (long arrow) (H&E, original magnification ×12.5).
Click for larger image

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