Presentation
Right sided abdominal pain
Patient Data
Approximately 5 cm of mid transverse colon shows circumferential mural thickening and mucosal hyperenhancement with inflammation of a couple of diverticuli, localized pericolonic fat stranding. A couple of inflamed diverticuli also seen close to the hepatic flexure. No diverticuli in the remaining large bowel. No suggestion of any underlying neoplasm. A few reactive pericolonic lymph nodes are present.
Moderate fatty infiltration of the liver. 8.8 mm calcified granuloma in segment VII.
Conclusion
Features suggestive of active ascending colon diverticulitis.
Moderate fatty liver.
Annotated positive findings.
Case Discussion
Another case of colonic diverticulitis that appeared as a suspicious mass on colonoscopy. Atypia and malignant changes are more common in diverticulitis and should be a less likely differential. The lack of any asymmetry in the mural thickening tips the diagnosis towards a benign diverticulitis rather than a neoplasm.
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