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RADIOLOGY: GASTROINTESTINAL: GI: Case# 32777: DIVERTICULITIS WITH COLOVESICLE FISTULA. 48 YOM has LLQ abdominal pain as well as pain when defecating. 1) Findings consistent with sigmoid diverticulitis without peridiverticular abscess. Infiltrative changes extend from the sigmoid colon to the urinary bladder which contains air. The findings are suspicious, but not definitive for a colovesical fistula. 2) Although the sigmoid wall thickening is most likely from diverticulitis, a follow up barium enema is recommended upon clinical resolution of diverticulitis (at least a few weeks or a month after symptoms resolve) to exclude a tumor. 3) Cirrhotic appearing liver with patent appearing TIPS shunt and multiple varices as well as mild splenomegaly consistent with portal hypertension. Hiatal hernia.

Author

Peter Anderson

Posted on

Thursday 1 August 2013

Tags

gastrointestinal, radiology

Albums

• PEIR Radiology / Gastrointestinal

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