Sigmoid diverticulitis

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Left iliac fossa and pelvic pain.

Patient Data

Age: 35
Gender: Male
CT

CT abdomen

Sigmoid colon concentric mural thickening is noted Involving a length of around 6 cm. The maximum wall thickness measuring around 15 mm. It is associated with scanty sigmoid diverticulae and multiple loco-regional mesenteric lymphadenitis.  Stranding of the peri-colic fat, showing increased density and linear stranding. Lineal intra-mural loculated fluid collection is noted abutting the mesenteric border of the sigmoid colon, measuring 8 mm, representing a small thin rim intra-mural abscess formation.

Case Discussion

Diverticulitis is a complication of diverticulosis, and most commonly involves the sigmoid, more commonly in the left colon and never the rectum. It may be complicated with abscess, perforation or fistula formation.

The presence of other diverticulae supports the diagnosis of diverticulitis in this case of segmental colonic inflammation.

PlayAdd to Share

Case information

rID: 52817
Case created: 21st Apr 2017
Last edited: 9th Jun 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.