Presentation
Suddenly onset left lower quadrant pain with elevated CRP and white blood cell count.
Patient Data
Age: 60 years
Gender: Male
From the case:
Perforated sigmoid diverticulitis
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Sigmoid diverticulosis, accompanied by segmental wall thickening with surrounding fat stranding. Note the extravasation of gas density consistent with acute perforated sigmoid diverticulitis. No free or loculated fluid in peritoneal cavity. After conservative treatment with IV antibiotic and rehydration, the patient was discharged.
Case Discussion
Acute perforated diverticulitis can sometimes be treated with conservative treatment successfully without surgery.
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