Presentation
Severe left iliac fossa abdominal pain with localized guarding.
Patient Data
Age: 55 years
Gender: Female
From the case:
Diverticulitis with bladder wall thickening
Frontal
Non-specific bowel gas pattern but no obstruction or perforation.
From the case:
Diverticulitis with bladder wall thickening
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Axial C+ portal venous phase
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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