Diverticulitis with perforation

Case contributed by Khalid Alhusseiny , 5 Mar 2020
Diagnosis certain
Changed by Tee Yu Jin , 7 Mar 2020

Updates to Study Attributes

Findings was changed:

CT images show few scattered diverticular outpouchings of the colon associated with mural. Mural thickening of the sigmoid colon andwith stranding of the surrounding fat planes denoting diverticulitis. There is mild amount of pelvic free fluid without abscess formation.

MildA small amount of pneumoperitoneum is also noted in keeping with perforation. No extraluminal contrast density could be seen suggesting the possibility of a sealed perforation.

The patient was managed conservatively but his abdomen became rigidguarded and the inflammatory markers were increasing, for this, he was sent to the operative theater and sigmoid perforation was confirmed (diverticulitis was confirmed histopathologically). He underwent sigmoid resection and primary repair.

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