Case 2

A 75 year old man presents with 3 days of left iliac fossa pain with associated low grade fever and blood streaked stool. Below is a slice of his abdominal CT

Look at the image and answer the questions below before moving on.

Case 2 CT.png

Case courtesy of Dr David Cuete, Radiopaedia.org, rID: 23115

Question 1

What is the diagnosis?

Question 2

What would you expect to find on physical examination?

Question 3

What other investigations would you organise for this patient?

Question 4

What is the ED management and ultimate disposition for this patient?