A 67-year-old woman presented in the IPD with a 3-week history of recurrent abdominal pain and intermittent fever up to 39°C. First manifestations occurred about 10 days after she had taken care of her grandchildren, who at that time were being treated for scarlet fever. She had a medical history of hysterectomy, bilateral adnexectomy, cholecystectomy, appendectomy, and sigmoïdectomy for diverticulitis. On admission, the clinical status was relevant only by a diffuse painful abdominal palpation and a temperature of 38.5°C. Blood pressure-115/55 mmHg Pulse rate- 89/min Saturation - 96%. Femoral and peripheral pulses were palpable.
At admission, C-reactive protein (CRP) was 67 mg/l (normal value <5 mg/l) and leukocyte count was 15.2 G/l (normal value 4.0−10 G/l). Abdominal CT scan was advised. Abdominal CT scan image is attached. What does the CT scan reveal? What will be the most likely…
