Diverticulitis

Case contributed by RMH Core Conditions

Presentation

Three days increasing LIF pain

Patient Data

Age: 59
Gender: Male
Modality: CT

There is a 10 cm length of sigmoid colon with a thickened wall and multiple diverticulae with extensive surrounding peri-mesenteric fat stranding.

No free intra-abdominal air or intra-abdominal collections.

Scattered uncomplicated small diverticulae in the descending colon.

The bladder is normal. No para-aortic adenopathy. The liver, pancreas and spleen are normal. The kidneys enhance homogenously. Atherosclerotic disease of the abdominal aorta. Mild degenerative change at the thoraco lumbar junction.

Incidental left intertrochanteric femoral simple bone cyst approximately 12 mm in diameter.

Conclusion:

Localised sigmoid colonic diverticulitis with associated microperforation (free gas within the sigmoid mesentery). No pericolonic collection.

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Case Information

rID: 30299
Case created: 1st Aug 2014
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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