Left lower abdominal pain for last few days without fever or alteration in bowel habit.
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There is presence of a protrusion from sigmoid colon at the site of pain. Its neck is seen. There is posterior acoustic shadowing due to presence of air. It is a diverticulum. Diverticular wall shows thickening along with adjacent colonic non-circumferencial wall thickening. Peri-diverticular fat is echogenic and non-compressible. There is local hypervascularity. There is no collection in peri-diverticular fat.
Rest of the abdominal and pelvis ultrasound was normal ( not uploaded ).
Ultrasound shows typical findings of uncomplicated colonic diverticulitis; sigmoid colon in this case.
The patient was treated with oral antibiotic drugs and recovered completely; favouring the diagnosis of diverticulitis.
- Sigmoid diverticulitis: US findings Maria Antonietta Mazzei and others. Critical Ultrasound Journal20135(Suppl 1):S5 DOI: 10.1186/2036-7902-5-S1-S5