Presentation
Diabetic patient presented with dysuria and suprapubic pain.
Patient Data
Diffuse colonic diverticulosis, notably on sigmoid and descending colon. Diffuse thickening of sigmoid colon with pericolic fat stranding. Abscess formation is seen involving the intramural part of sigmoid colon with pericolic extension.
Left renal peripelvic cyst (axial, coronal).
Left spermatic cord lipoma is noted.
Case Discussion
CT is the modality of choice in staging diverticulitis and detection of possible complications like perforation and abscess formation. The presence of pericolic abscess is considered stage Ib according to Hinchey classification. The patient began conservative treatment with antibiotics. Follow up is recommended to assess the response to abscess treatment. If no improvement, interventional drainage may be considered.
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