Contrast enhanced CT scan of abdomen shows large infraumbilical midline and right paramedian incisional ventral hernia containing right half of transverse colon, ascending colon, caecum, appendix and ileal loops. The defect measures 12.0 x 8.5 cm (transverse x craniocaudal) in maximum dimensions.
There is a thick walled diverticulum arising from the anti-mesenteric border of one of the herniated ileal loops in inferomedial portion of the hernial sac measuring 3.0 x 3.1 x 2.4 cm. The diverticulum shows thickened, enhancing walled with mottled intraluminal contents- suggestive of acute ileal diverticulitis.
Fistulous communication is seen between the inflamed ileal diverticulum and the skin of adjacent anterior abdominal wall - suggestive of enterocutaneous fistula. Small enterolith is seen in the diverticulum.
Uterus is surgically absent.