colonp13

H: Adult woman, 61-years-old, is admitted with fever, and pain in the left lower quadrant, white blood cell count (WCC) is high. Rectal bleeding.

INFO/WWW-LINKS: 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.

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