Case contributed by Hein Els
Diagnosis almost certain


Left iliac fossa pain with elevated CRP and white cell count.

Patient Data

Age: 55 years
Gender: Male

Targeted ultrasound


Sigmoid colon diverticulum with surrounding echogenic fat and a sliver of hypoechoic fluid. The sigmoid wall at the site of inflammatory fat is thickened, measuring up to 0.7cm. No fluid collection. 

Case Discussion

Combination of findings and the clinical picture are consistent with acute diverticulitis involving the sigmoid colon

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