Sigmoid diverticulitis - perforated

Case contributed by A.Prof Frank Gaillard

Presentation

Acute abdominal pain and guarding.

Patient Data

Age: 50 years
Gender: Female

Diverticula throughout the colon. Focal fat stranding adjacent to a sigmoid diverticulum with a small amount of extraluminal fluid and gas locules. Significant amount of pneumoperitoneum. Appendix is normal in appearance. Previous cholecystectomy with associated intra- and extra-hepatic biliary duct dilatation. IUCD and IDC noted.

Annotated image

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Case Discussion

This case demonstrates vast quantities of free intraperitoneal gas, arising from a focal region of diverticulitis on a background of more extensive colonic diverticulosis. 

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Case information

rID: 18061
Published: 4th Jun 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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