Case 3 Answer

Acute Diverticulitis

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• Diverticula of the colon are usually acquired deformation and are found most frequently in western urban civilizations.
• Diverticula are usually multiple; their most common location is the sigmoid and left colon.
• Acute diverticulitis and spastic diverticulosis may both be associated with a classic triad of presentation: left lower-quadrant pain, fever, and leukocytosis.
• Localized abcess formation occurs more commonly than peritonitis. Fistula formation, with communication to the bladder, vagina, skin, or other bowel loops, is present in the minority of cases.

Rumack, Carol M. Diagnostic Ultrasound, 2nd Ed, 1998 Mosby.