Diverticulitis with bladder wall thickening

Case contributed by Dr Jeremy Jones

Presentation

Severe left iliac fossa abdominal pain with localised guarding.

Patient Data

Age: 55
Gender: Female

Non-specific bowel gas patter, but no obstruction or perforation.

Acute uncomplicated sigmoid diverticulitis.

Case Discussion

The sigmoid colon is thickened and inflamed with peri-colinic fat stranding and some free fluid.  The dome of the bladder has a thickened wall, but there is no gas within the bladder to suggest fistula formation.  No perforation of local collection.

Conservative treatment with antibiotics and analgesia.

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Case information

rID: 14228
Case created: 8th Jul 2011
Last edited: 22nd Jun 2017
Inclusion in quiz mode: Included

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