Acute sigmoid colon diverticulitis

Case contributed by Sami Elhinnawi
Diagnosis certain


Left iliac fossa pain, tenderness and fever.

Patient Data

Age: 55 years
Gender: Male

The sigmoid colon shows diverticular disease, one of the diverticulae show surrounding fat stranding and reactive mural thickening of the adjacent pelvic colon wall denoting acute inflammatory process consistent with acute diverticulitis.

There is no evidence of complications.

Curved MPR and oblique images showing the descending and the pelvic colon.

Case Discussion

Acute diverticulitis is one of the presentations of diverticular disease of the colon. It usually occurs in the sigmoid colon.

Our case shows non-complicated diverticulitis with no evidence of abscess, perforation or fistula formation. The patient's symptoms resolved on antibiotic treatment.

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