Patient Profile:- Age: 60 years- Gender: Male- Presentation: The patient presents with a 48-hour history of left lower quadrant pain, fever, and altered bowel habits. Medical History:- History of constipation.- High-fat, low-fiber diet.- No previous abdominal surgeries. Examination Findings:- Vital signs: BP 125/80 mmHg, Heart rate 90 bpm, Temperature 38.3°C.- Abdominal examination reveals tenderness and guarding in the left lower quadrant. No rebound tenderness. Investigations:- CBC shows leukocytosis.- CT abdomen/pelvis with contrast shows thickening of the sigmoid colon with surrounding fat stranding, consistent with diverticulitis. Diagnosis:Diverticulitis Management:- Mild cases: Oral antibiotics, dietary modifications, and outpatient follow-up.- Severe cases: Hospital admission, IV antibiotics, and possible surgical intervention. Teaching Guidelines:- Discuss the pathophysiology of diverticulitis and its relation to diverticulosis.- Review the clinical presentation and how it differs from other causes of acute abdomen.- Highlight the importance of a CT scan in the diagnosis and assessment of complications.- Discuss the management strategies, including when to consider conservative vs. surgical treatment.

Case Study 3: Diverticulitis

You must be logged in to access this database