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H:
Adult woman, 66-years-old,
- admitted with severe abdominal pain, increased lactate and fresh rectal bleeding.
Clinically: Acute mesenteric embolism
INFO/WWW:
A diverticulum is
an outpouching of the wall of the gut. About one-third of the population in
the western world has diverticulosis
by the age of 60 years. The diverticula are usually located in the sigmoid
colon. Complications of diverticulosis
are diverticulitis,
haemorrhage,
fistulae and sometimes post-inflammatory strictures. In diverticulitis there
is the danger of abscess formation or perforation. In perforation contrast
medium may be seen next to the colon in the peritoneal cavity and/or contrast
is track into a collection adjacent to the diseased colon.
D:
Severe diverticulitis
of the descending colon (accidentally found by angiography).
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We
owe this case to Dr.
Martin Dobritz, Dept. of Diagnostic Radiology - University of Erlangen-Nürnberg,
Germany
If you need a physiological image to compare
click here
