Perforated sigmoid diverticular disease into the retroperitoneum

Case contributed by Dr Chris O'Donnell

Presentation

Known diverticular disease. Now left iliac fossa pain.

Patient Data

Age: 66
Gender: Female

AXR: performed to determine if a bowel obstruction is present

Modality: X-ray

Free gas outling the left psoas muscle.  No features of bowel obstruction.

CT to confirm findings and determining underlying cause

Modality: CT

Sigmoid perforation with localized gas in the central pelvis entering the retroperitoneum and passing in a cephalad direction adjacent to the left psoas muscle.

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Case Information

rID: 20255
Case created: 8th Nov 2012
Last edited: 12th Nov 2015
Tag: colon
Inclusion in quiz mode: Included

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