Sigmoid diverticulitis

Case contributed by Dr Andrew Van


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

Patient Data

Age: 64
Gender: Male

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.

PlayAdd to Share

Case information

rID: 44669
Published: 2nd May 2016
Last edited: 2nd May 2016
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.