Colonic diverticular abscess

Case contributed by Hani Makky Al Salam
Diagnosis probable

Presentation

Lower abdominal pain.

Patient Data

Age: 70 years
Gender: Female

There is a rounded, peripherally enhancing collection in the pelvis, with surrounding inflammatory stranding, appears in close proximity to the sigmoid colon, which demonstrates extensive diverticular disease. The collection contains gas and demonstrates a small air/fluid level. 

Diffuse fatty infiltration of the liver. 

Bilateral renal cysts, more on the right. 

Interpretation: Findings are consistent with sigmoid diverticulitis with abscess formation. 

Case Discussion

Colonic diverticular abscess.

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