Sigmoid diverticulitis

Case contributed by Dr Maulik S Patel

Presentation

Left lower abdominal pain for last few days without fever or alteration in bowel habit.

Patient Data

Age: 40 yrs
Gender: Female
Ultrasound

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 ).

Case Discussion

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.

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Case information

rID: 53871
Case created: 11th Jun 2017
Last edited: 10th Jul 2017
Inclusion in quiz mode: Included

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