A 63-year-old man presents with shifting abdominal pain and leukocytosis. A CT Scan reveals thumbprinting of the sigmoid colon. What is the diagnosis?
A 63-year-old man presented to the emergency department with a 3-day history of abdominal pain that had started in the periumbilical area and subsequently shifted to the left lower quadrant. Initial laboratory tests showed a white-cell count of 12,000 per cubic millimeter (reference range, 4000 to 10,000) and a lactate level of 1.8 mmol per liter (normal value, <1.9). Contrast-enhanced computed tomography of the abdomen revealed edema of the sigmoid colon with thumbprinting. What is the diagnosis?
What is the most likely diagnosis?
Abdominal pain, CT Scan, Ischemic colitis, Sigmoid Colon, Thumbprinting
