Ileal diverticulitis

Case contributed by Oscar Gutierrez
Diagnosis certain

Presentation

1 day of abdominal pain, white blood cell count 10, CRP 14.

Patient Data

Age: 75 years
Gender: Male
ct

Large inflamed diverticulum arising from the ileum, with surrounding fat stranding. In addition, there is a small extraluminal gas denoting perforation. No intra-abdominal collections.

Free fluid in pelvis.

Diverticulosis of the colon, without diverticulitis.

Case Discussion

The CT findings are consistent with ileal diverticulitis with free extraluminal gas, suggesting diverticular perforation. A 10 cm intestinal resection was performed, confirming the diagnosis of acute diverticulitis.

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