Sigmoid diverticulitis

Case contributed by Dr Andrew Van

Presentation

Two day history of right lower quadrant abdominal pain and tenderness.

Patient Data

Age: 64
Gender: Male
CT

The appendix is of normal calibre and measures 5.9mm.

Diverticulosis of the sigmoid, stranding of the meso-sigmoid, thickened fundus of the urinary bladder, mild thickening medial wall of the caecum and stranding of the meso-appendix is seen. Subcentimetre right colic lymph nodes observed.

Case Discussion

Post inflammatory changes in the right hypochondrium with associated peri-appendiceal and peri-vesical inflammatory changes secondary to sigmoid diverticulitis resulted in a more unusual presentation of right lower quadrant abdominal pain and tenderness.

The patient was subsequently admitted under the general surgical team with intravenous metronidazole and ceftriaxone.

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Case information

rID: 44669
Case created: 1st May 2016
Last edited: 2nd May 2016
Inclusion in quiz mode: Included

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