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Acute colonic diverticulitis

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominopelvic pain since 2 days ago.

Patient Data

Age: 35 years
Gender: Female

Several diverticula are seen at the distal colon accompanied by a short segment sigmoid colon wall thickening surrounded by fat stranding. No intraperitoneal free air or pericolic abscess formation.

Case Discussion

Regarding patient history and the presence of multiple colonic diverticula, features are most consistent with acute colonic diverticulitis.

CT is the modality of choice for diagnosing and staging colonic diverticulitis, and the sigmoid colon is the most common site of diverticula formation and colon diverticulitis.

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