Presentation
Left lower abdominal pain for past several days. Mentions partial colectomy several years ago in a different country.
Patient Data
Age: 75 years
Gender: Male
From the case:
Small bowel diverticulitis
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Large jejunal diverticula at level of left kidney and below. Focal eccentric bowel wall thickening and adjacent fat stranding around an extramural gas bubble that could either represent a diverticulum or diverticular perforation.
Surgical anastomosis in sigmoid colon (adjacent to contrast-filled small bowel loop).
Case Discussion
The patient left the emergency room against medical advice; the idea was to admit him for IV antibiotics and supervision.