Contribution:
Dr Melanie Lau
Patient data: 51-year-old Male
Presentation: 2 days pain in the left iliac fossa
Diagnosis:
Acute uncomplicated diverticulitis
Commentary:
Colonic Wall Thickening and pericolonic fat stranding of the sigmoid colon. At least one diverticulum is inflamed.
The images do not show significant abscess formation, free air (pneumoperitoneum), or other complications like fistula formation, which are important to rule out in acute diverticulitis.
Epiploic appendagitis can have a similar appearance, although the adjacent colon is usually less thickened, out of keeping with inflammatory mesenteric fat changes.
References:
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