Clinical:
- A 54 years old lady
- Presented with recurrent abdominal pain
- Associated with change in bowel habit
- No associated loss of appetite or loss of weight
Imaging findings:
- Double contrast barium enema performed.
- There are multiple small outpouchings (yellow arrows) seen predominantly at sigmoid and and descending colon.
- A few outpouchings are also seen at transverse colon.
- No contrast extravasation or fistulous communication.
- No area of stricture seen.
Diagnosis: Colonic diverticulosis
- Colonic diverticulosis refers to the presence of multiple diverticula
- It is typically found in older individuals.
- Diverticula range in size from a few millimetres to a few centimetres
- Colonic diverticula are most common in the sigmoid colon and, to a lesser extent, in the descending colon. The entire colon can be affected, with 15% of patients having right-sided diverticula.
- Both single and double contrast barium enemas are able to demonstrate diverticula as barium-filled outpouchings.