Diverticulitis with perforation
Diagnosis certain
Updates to Study Attributes
Findings
was changed:
CT images show few scattered diverticular outpouchings of the colon. Mural thickening of the sigmoid colon with stranding of the surrounding fat planes denoting diverticulitis. There is mild amount of pelvic free fluid without abscess formation.
A 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 guardedrigid and the inflammatory markers were increasing, for this, he was sent to the operative theater andtheatre. A sigmoid perforation was confirmed (diverticulitis was confirmed histopathologically). He underwent sigmoid resection and primary repair.
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