Acute diverticulitis in a patient with intestinal malrotation.

Figure 3 – Intersection of the superior mesenteric artery in front of the vein, at the right of it. CliniCal Case 61 year-old female, afebrile and hemodynamically stable, admitted to emergency room reporting abdominal pain of 5 days duration. Abdominal examination: soft and depressible abdomen, painful on palpation at left iliac fossa, without defense. TAC: multiple diverticula in the descending colon and sigmoid, thickened wall and discrete pericolic fat inflammatory changes (Figure 1), ansae of the small intestine in right iliac fossa (RIF) (Figure 2), in maximum intensity projection (MIP), intersection of the superior mesenteric artery in front of the vein, at the right of it (Figure 3).