0:00

Okay, here we go again.

0:02

This is a contrast-enhanced CT scan of a patient

0:04

with left lower quadrant pain this time, um, and

0:07

they've come to the ER in quite a bit of pain.

0:10

Alright, so we have the liver

0:11

and the spleen looking normal.

0:12

Same with the pancreas coming down.

0:15

We're going to see that the small bowel is

0:16

without evidence of obstruction, but we

0:18

already see some inflammation in the left

0:20

lower quadrant, all within that left lower

0:22

quadrant adjacent to the small diverticulum.

0:26

Of the descending slash sigmoid junction of the colon.

0:29

You can even see some thickening of the pericolonic

0:31

fascia there in that anterior pararenal space,

0:34

consistent with diverticulitis, classicus.

0:37

This is diverticulitis.

0:38

Classicus couldn't be more classical if you tried,

0:42

seeing all those little tiny, cute diverticula.

0:44

Some of which have decided to get angry and become

0:47

very inflamed with a lot of pericolonic fat stranding.

0:51

There's even some wall thickening, but arguably

0:53

more fluid and fat stranding than wall thickening.

0:56

So this is a classic appearance of

0:58

diverticulitis without evidence of

1:00

perforation or drainable fluid collection.

Case: Classic Diverticulitis

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