Sigmoid diverticulitis, aortitis, and nodular adrenal hyperplasia
Diagnosis almost certain
Presentation
Left lower quadrant pain.
Patient Data
Age: 55
Gender: Female
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Thickening of the sigmoid colon with pericolonic stranding and small unorganized fluid. Reactive inflammation posterior bladder wall. No free air.
Ectasia infra-renal abdominal aorta with surrounding stranding and mildly prominent nodes.
Enlarged multi-nodular adrenal glands.
Case Discussion
Typical findings of acute uncomplicated sigmoid diverticulitis.
The infrarenal abdominal aorta is ectatic and inflamed, raising concern for superimposed infectious aortitis.
The adrenal glands are markedly nodular and have a typical appearance for nodular adrenal hyperplasia.
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