EURORAD ESR

Case 7949

Descending colon diverticulitis diagnosed by ultrasound

Author(s)
Voultsinou D, Itzos V, Soutzopoulos X, Bisba K, Tsanaktsidis J, Christoforidis E, Palladas P
 
Patient
female, 43 year(s)
 
 
  • Figure 1
    Ultasound examination of the lower abdomen

    A small right periovarian fluid collection was demonstrated.

     
     
     
  • Figure 2
    Ultrasound examination.

    A loop of the bowel is thickened and demonstrates the classic ‘pseudo-kidney’ sign.

     
     
     
  • Figure 3
    Ultrasound examination. Longitudinal scan.

    US reveals mural thickening of the sigmoid at the level of an inflamed diverticulum. Note the surrounding hyperechoic, non-compressible tissue representing the omentum and mesentery effectively walling-off the...

     
     
     
  • Figure 4
    Ultrasound examination . Tranverse scan.

    US reveals mural thickening of the sigmoid at the level of an inflamed diverticulum. Note the surrounding hyperechoic, non-compressible tissue representing the omentum and mesentery effectively walling-off the...

     
     
     
  • Figure 5
    Ultrasound examination . Tranverse scan.

    The fecalith-filled diverticulum is recognized as strongly reflective, round structure casting an acoustic shadow and localized at the outer contour of the empty sigmoid. The thin wall of the diverticulum,...

     
     
     
  • Figure 6
    CT examination. Tranverse scan.

    Oedemadous lower descendending colon an sigmoid colon wall. Note the inflammed diverticulum walls and the pericolic tissue infiltration.

     
     
     
  • Figure 7
    Ultrasound examination. 15 days after intravenous andibiotic treatment
     

    15 days later, the patient was almost symptom-free. Pus and faecal material have completely evacuated to the sigmoid lumen, leaving an empty diverticulum

     

    Zoomed view. 15 days later, the patient was almost symptom-free. Pus and faecal material have completely evacuated to the sigmoid lumen, leaving an empty diverticulum

     
     
     
A small right periovarian fluid collection was demonstrated.
 
A loop of the bowel is thickened and demonstrates the classic ‘pseudo-kidney’ sign.
 
US reveals mural thickening of the sigmoid at the level of an inflamed diverticulum. Note the surrounding hyperechoic, non-compressible tissue representing the omentum and mesentery effectively walling-off the imminent perforation.
 
US reveals mural thickening of the sigmoid at the level of an inflamed diverticulum. Note the surrounding hyperechoic, non-compressible tissue representing the omentum and mesentery effectively walling-off the imminent perforation.
 
The fecalith-filled diverticulum is recognized as strongly reflective, round structure casting an acoustic shadow and localized at the outer contour of the empty sigmoid. The thin wall of the diverticulum, consisting of mucosa is not separately visible.
 
Oedemadous lower descendending colon an sigmoid colon wall. Note the inflammed diverticulum walls and the pericolic tissue infiltration.
 
15 days later, the patient was almost symptom-free. Pus and faecal material have completely evacuated to the sigmoid lumen, leaving an empty diverticulum
 
Zoomed view. 15 days later, the patient was almost symptom-free. Pus and faecal material have completely evacuated to the sigmoid lumen, leaving an empty diverticulum
 
 
 
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