Acute diverticulitis

Case contributed by David Cuete
Diagnosis almost certain

Presentation

Abdominal pain in the left iliac fossa. Pain has been ongoing for days.

Patient Data

Age: 50 years
Gender: Female

CT abdomen and pelvis

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
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Info

The colon has multiple diverticula in the sigmoid and descending portions, with changes in attenuation of the adjacent fat, without any collections or extraluminal air. 

Liver size is normal without focal lesions. Pancreas, spleen, and adrenal glands are normal. The left kidney has multiple areas of parenchymal thinning and is decreased in size. Small duodenal diverticulum.

Case Discussion

This case shows an uncomplicated acute diverticulitis. The Hinchey classification is useful to categorise a diverticulitis.

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