Diverticulitis

Case contributed by Jack Ren

Presentation

LIF pain with fevers and change in bowel habits.

Patient Data

Age: 53
Gender: Male
Modality: CT

Extensive stranding is in no surrounding the proximal sigmoid colon over a length of approximately 8 cm (where a number of diverticula are present).

No free intra-abdominal gas can be identified. No fluid collection to suggest abscess formation. No evidence of bowel obstruction.

The remainder of the large bowel is unremarkable.

The appendix is normal.

The liver is markedly fatty with regions of presumed focal fatty sparing involving the posterior part of segments two and three as well as the gallbladder fossa.

A number of small well circumscribed hypoattenuation region is most likely represent cysts - this can be confirmed electively with an ultrasound.

The spleen, pancreas, adrenal glands are and kidneys are normal in appearance other than the right kidney having a 1.5 cm simple cyst in its mid pole.

Conclusion:

The features are those of diverticulitis, with no evidence of perforation or abscess formation.

Case Discussion

Features of acute diverticulitis on CT. 

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Case Information

rID: 30393
Case created: 7th Aug 2014
Last edited: 4th Oct 2015
Inclusion in quiz mode: Included

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