Sigmoid diverticulitis, aortitis, and nodular adrenal hyperplasia

Case contributed by Dr Michael P Hartung

Presentation

Left lower quadrant pain.

Patient Data

Age: 55
Gender: Female

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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Case information

rID: 67071
Published: 18th Mar 2019
Last edited: 21st Mar 2019
Inclusion in quiz mode: Included

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