Presentation
Left iliac fossa pain with associated nausea, vomiting and fever
Patient Data
Multiple small bowel diverticula.
Small bowel diverticulitis involving a loop of mid-small bowel left of midline at the axial level of the anterior superior iliac spine, with acute perforation, localized intra-mesenteric gas and adjacent mesenteric inflammatory changes. The distal small bowel and colon are effaced.
No significant free intraperitoneal fluid or focal peripherally-enhancing/drainable collection.
Laparoscopic sterilization clips; fibroid uterus with fibro-fatty degeneration. No discrete pelvic, mesenteric or retroperitoneal adenopathy.
Case Discussion
Small bowel diverticulitis is rare compared to large bowel.
The patient was successfully managed conservatively with no recurrence.
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