Colonic diverticulosis


  • 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.
Author: radhianahassan