Presentation
Lower abdominal pain
Patient Data
Age: 60 years
Gender: Male
From the case:
Sigmoid diverticulitis
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Short segment active inflammation of diverticuli of proximal sigmoid colon with concentric mural thickening, hyperenhancement, perisigmoid fat stranding and small mural microabscess formation. Areas of perisigmoid meseneteric border extra serosal mesenteric lesions, possible old walled off inflammation.
From the case:
Sigmoid diverticulitis
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Annotated depiction of mural microabscess and mesenteric walled off inflammation.
Case Discussion
Sigmoid diverticulosis is prone to inflammation, which may lead to abscess formation and bowel-bowel or bowel-vesical fistulations. One should also be wary of the higher incidence of bowel neoplasms in such patients and not be outright confident on a benign diagnosis.
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