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Acute inferior abdominal pain.
CT Abdomen and pelvis
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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.
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.