Presentation
Lower abdominal pain, elevated inflammatory markers, US exam unremarkable. Appendicitis?
Patient Data
Age: 45 years
Gender: Male
From the case:
Perforated sigmoid diverticulitis
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Circumferential sigmoid wall thickening and marked pericolic fat stranding. Note the small foci of extraluminal air antero-superiorly. Multiple small diverticuli.
Slightly distended small bowel with air-fluid levels.
The retrocoecal appendix is well visualized, and is unremarkable.
Small inguinal and umbilical hernias, small renal cysts.
Case Discussion
Sigmoid diverticulitis complicated by a small but unequivocal perforation and small bowel paralytic changes.
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