Diverticulitis with bladder wall thickening

Case contributed by Jeremy Jones


Severe left iliac fossa abdominal pain with localized guarding.

Patient Data

Age: 55 years
Gender: Female

Non-specific bowel gas pattern but no obstruction or perforation.

Thickened sigmoid with divertiula and pericolonic stranding.  No perforation.

Inflamed portion of sigmoid colon with thickening of the bladder wall at the dome, but no gas within the bladder.

Case Discussion

The sigmoid colon is thickened and inflamed with peri-colonic 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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