Question 331 · LEK · Colonic diverticula
A 72-year-old patient reports pain in the region of the left iliac fossa, which has been present for the last 3 days, associated with fever of up to 39°C, tachycardia at 90 bpm, highly elevated inflammation parameters (WBC and CRP) and an identified fluid collection in the lower abdomen on the left side. In this case you should diagnose:
- A. acute pyelonephritis in the left kidney.
- B. intra-abdominal abscess associated with appendicitis.
- C. abscess secondary to sigmoid diverticulitis.
- D. infected ascites associated with liver cirrhosis.
- E. peritoneal carcinomatosis associated with colorectal cancer.
Hint
Consider which inflammatory condition typically affects the left lower quadrant in elderly patients and can form a localised pericolic collection.
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