One day of left iliac fossa pain.
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A diverticula-containing segment of sigmoid colon measuring approximately 7cm demonstrates mural thickening and pericolonic stranding associated with asmall amount of free fluid in the pelvis.The descending colon demonstrates uncomplicated diverticular disease. The remainder of the bowel has a normal appearance with no further muralthickening or inflammatory stranding. No dilated loops of bowel or evidenceof mechanical bowel obstruction. The appendix is normal. Hyperdense foci at the anorectal junction probably represent surgical material.
No intra-abdominal collection or free gas detected.The liver, spleen, pancreas, gallbladder and adrenal glands areunremarkable. Subcentimetre cortical apparent hypodensities in the mid andsuperior poles of the left kidney are too small to characterisedefinitively, however probably represent simple cysts. No hydronephrosis orhydroureter. The uterus is bulky and contains an ill-defined lesion in themyometrium of the fundus, which most likely represents a fibroid. Noinguinal or intra-abdominal lymphadenopathy.