Emergency #34

A 73-year-old female:
– Pain LLQ
– CRP 68, leucocytes 19000.

What is the pathology?

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Diagnosis: Sigmoid diverticulitis, no signs of complications/perforation such as air bubbles outside bowel lumen or paracolic abscess. Reactive bowel wall thickening (always be aware of underlying carcinoma!)

Name the three coincidental findings:

1. Gall stones
2. Right adrenal mass, DD metastasis from 3. or adenoma
3. Right interpolar solid mass, suspect for renal cell carcinoma