Ascending colon diverticulitis

Case contributed by Dr Varun Babu

Presentation

Right sided abdominal pain

Patient Data

Age: 50 years
Gender: Female
CT

Approximately 5 cm of mid transverse colon shows circumferential mural thickening and mucosal hyperenhancement with inflammation of a couple of diverticuli, localized pericolonic fat stranding. A couple of inflamed diverticuli also seen close to the hepatic flexure. No diverticuli in the remaining large bowel. No suggestion of any underlying neoplasm. A few reactive pericolonic lymph nodes are present.

Moderate fatty infiltration of the liver. 8.8 mm calcified granuloma in segment VII.

Conclusion

Annotated image

Annotated positive findings.

Case Discussion

Another case of colonic diverticulitis that appeared as a suspicious mass on colonoscopy. Atypia and malignant changes are more common in diverticulitis and should be a less likely differential. The lack of any asymmetry in the mural thickening tips the diagnosis towards a benign diverticulitis rather than a neoplasm. 

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Case information

rID: 61970
Published: 27th Jul 2018
Last edited: 27th Jul 2018
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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