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Diagnostic Imaging Pathways - Acute Left Iliac Fossa Pain

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Diverticulitis

Image 1a (Computed Tomography): Inflammatory changes are seen around the sigmoid colon without abscess formation (arrow).

1b Click to view full size image   Image 1b (Computed Tomography): Sigmoid diverticulitis complicated by an abscess (arrow).
       
2a Click to view full size image   Diverticular Disease

Image 2a: Sigmoid colectomy showing multiple diverticular outpouchings through the bowel wall. Note the attenuated muscularis propria (black arrows) compared to the normal muscle layer (blue arrow).

2b Click to view full size image   Image 2b (H&E, x2.5): Histological section showing an uninflamed diverticulum extending through the muscularis propria of the large bowel wall.
     

 


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