This site is targeted at medical and radiology professionals, contains user contributed content, and material that may be confusing to a lay audience. Use of this site implies acceptance of our Terms of Use.

Diverticulitis with pericolonic abscess

Case contributed by: Dr David Blackmore

Presentation:

Suspected complicated acute diverticulitis

Patient Data:

Age: 75
Gender: Female
Race: Hispanic/Latino

CT abdomen and pelvis

Modality: CT

CT shows sigmoid wall thickening with mucosa hyperemia and submucosal edema associated with pericolonic inflammatory changes. Diverticulae are  presence at this level. In  the cranial position and in close relation to previously described findings, an irregular collection of perceptible walls is present, with some bubbles of gas within, identifying a communicating fistula between the collection and an adjacent sigmoid loop. A second fistula that communicates the collection to an ileum segment is localized at the pelvic excavation. These findings were accompanied by moderate left hydroureteronephrosis, observing caliber change in the distal ureter, in relation to the previously described inflammatory changes. 

Case Discussion:

Findings consistent with complicated acute sigmoid diverticulitis with a 

pericolic abscess.

Updating… Please wait.
Loadinganimation

 Details successfully updated.

Error Unable to process the form. Check for errors and try again.

 Thank you for updating your details.