Presentation
Left iliac fossa pain.
Patient Data
Abdomen and pelvic ultrasound:
The sigmoid colon and distal descending colon show diffuse uniform thickened wall with fat stranding, the sonographic feature is compatible with diverticulitis, no abscess formation is seen.
No free fluid in the abdomen or pelvis is noted
Rest of the examination was unremarkable. (pictures not included)
Case Discussion
This gentleman presented to A&E room with left lower quadrant pain. He is smoker known to have lung cancer, hypertension, diabetes mellitus type 2, and COPD, Undergone cholecystectomy 10 years ago. Abdomen and pelvis ultrasound was requested intially and showed thickened bowel wall involving the sigmoid and proximal descending colon. Diverticula was also seen which appeared as bright outpouching "ears" with posterior acoustic shadowing and surrounding non-compressible echogenic fat planes suggesting inflammtory process. Absence of collections, bowel dilatation, or free intraperitoneal fluid indicating uncomplicated diverticulitis not necessitating further evaluation by CT scan.
Unable to process the form. Check for errors and try again.