Colonic diverticulitis

Case contributed by András Tóth
Diagnosis almost certain

Presentation

Left lower quadrant abdominal pain, mild fever. Mildly elevated white blood cell count and CRP.

Patient Data

Age: 60 years
Gender: Female

Highlited images

ultrasound

Descending colon circumferential wall thickening with hypervascularity. Few colon diverticula, surrounded by non-compressible, echogenic, hypervascular intraabdominal fat. No fluid collection.

Case Discussion

The ultrasound findings, in combination with the clinical picture and laboratory data, are consistent with acute colonic diverticulitis.

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