Sigmoid diverticulitis

Case contributed by Bruno Di Muzio
Diagnosis almost certain


Acute inferior abdominal pain.

Patient Data

Age: 40-year-old
Gender: Male

CT Abdomen and pelvis


Diverticula throughout the distal colon. Focal fat stranding adjacent to a sigmoid diverticulum with a small amount of extraluminal fluid and gas locules. Appendix is normal in appearance. 

A fatty liver is also noted. The remainder structures are unremarkable for a non-contrast study. 

Case Discussion

This case represents a common cause of acute abdomen in the emergency department, especially in the elderly. It shows a sigmoid diverticulitis associated with a small amount of extraluminal gas locules. 

The patient was managed conservatively with antibiotics and painkillers. 

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