Diverticulitis: find the inflamed pouch

Question 1Where should you start the scan in suspected diverticulitis?

1. aOver the bladder
2. bIn the right upper quadrant
3. cAt the point of maximal tenderness, pointed to by the patient
4. dOver the aorta

Question 2What does an inflamed diverticulum usually look like?

1. aA long black tube
2. bA normal thin colon wall
3. cA simple cyst in the liver
4. dA small dark pouch from the colon wall, often with a bright centre

Question 3Which surrounding finding is the most visible sign of diverticulitis?

1. aA dilated small bowel
2. bA thick gallbladder wall
3. cBright, non-compressible inflamed fat
4. dBlack ascites

Question 4Which finding changes management and needs CT and surgical review?

1. aNormal peristalsis
2. bA collection with debris, or gas outside the bowel
3. cA small quiet diverticulum
4. dA thin colon wall

Question 5Why is follow-up needed after diverticulitis diagnosed on imaging?

1. aTo measure the liver
2. bIt is never needed
3. cA thickened colon segment can be a cancer
4. dBecause ultrasound always misses diverticulitis