Presentation
Left sided abdominal pain and fever.
Patient Data
Age: 40
Gender: Male
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Axial C+ portal venous phase

Circumferential wall thickening of the sigmoid colon with prominent surrounding inflammatory stranding and multiple diverticulae. At the left aspect of this segment there is a focal 2cm collection containing fluid and multiple locules of gas consistent with localized perforation.
Case Discussion
Acute sigmoid colon diverticulitis complicated by localized perforation.