Excretory urogram was also reported normal except for slight spasm of the calyces, bilaterally. Sonogram of the abdomen and pelvis did not pick up any pathology which could be responsible for the patient's symptoms. A gastrograffin enema was done and it revealed multiple diverticula more numerous in the right colon. A contrast filled appendix was also seen. These occur in rows and are most commonly seen in the sigmoid colon, right sided colon being rarely involved.
Most patients are city dwellers, vegetarians and belong to upper socio economic status.
Gastrograffin enema showing right sided diverticuli in the hepatic flexure and the ascending colon in filling phase. Gastrograffin enema showing right sided diverticuli in the hepatic flexure and the ascending colon in evacuation phase. Gastrograffin enema showing right sided diverticuli in the hepatic flexure and the ascending colon in double contrast. Incidence of right sided diverticular disease increases in middle aged subjects. The most common clinical presentation of right sided colonic diverticula is an acute inflammatory complication which is difficult to distinguish from other causes of right iliac fossa pain.