Sigmoid colon diverticulitis

Case contributed by Dr Hein Els

Presentation

Left lower quadrant pain.

Patient Data

Age: 46
Gender: Male
Modality: CT

Multiple diverticula of various sizes associated with the distal descending and sigmoid colon. Supero-medial to the proximal sigmoid colon is a rim enhancing collection with a short air-fluid level, highly concerning for a contained perforation. Circumferential wall thickening and pericolonic fat stranding associated with the sigmoid colon. No shoulder formation or discrete mass lesion. No lymphadenopathy or free intraperitoneal air.

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Case Information

rID: 32997
Case created: 24th Dec 2014
Last edited: 15th Jul 2016
Inclusion in quiz mode: Included

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