Case contributed by A.Prof Frank Gaillard


One day of left iliac fossa pain.

Patient Data

Age: 50 years
Gender: Female

A diverticula-containing segment of sigmoid colon measuring approximately 7 cm demonstrates mural thickening and pericolonic stranding associated with a small amount of free fluid in the pelvis. The descending colon demonstrates uncomplicated diverticular disease.

The remainder of the bowel has a normal appearance with no further mural thickening or inflammatory stranding. No dilated loops of bowel or evidence of mechanical bowel obstruction. The appendix is normal. Hyperdense foci at the anorectal junction probably represent surgical material. No intra-abdominal collection or free gas detected

Case Discussion

Diverticulitis is a common cause of abdominal pain in patients presenting to the emergency department. 

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Case information

rID: 18403
Published: 5th Jul 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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