Colonic diverticulitis complicating a colonic diverticulosis

Case contributed by Ammar Haouimi


Left lower abdominal pain.

Patient Data

Age: 55 years
Gender: Male

Extensive colonic diverticulosis most numerous in the transverse and sigmoid colon with thickening and enhancement of the sigmoid and left colonic wall up to splenic flexure. Some of the distal descending colonic diverticula show thickened enhanced wall with intramural abscess formation, adjacent pericolic fat stranding and thickening with the enhancement of the peritoneal reflections. No adjacent extra-luminal gas was seen.

A small simple left renal cyst is noted.

Case Discussion

CT features of colonic diverticulitis with intramural abscess formation in a patient with colonic diverculosis.

Colonic diverticulitis is a complication of colonic diverticulosis, and one of the presentations of diverticular disease. Uncomplicated diverticulosis is mostly asymptomatic whereas acute diverticulitis is a potentially life-threatening illness.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.