2 Days Of Progressive in Surgery — 58yo Man | General Surgery | SMLE Q#18818

SMLE Question #18818

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: March 2026
A 58-year-old man presents to the emergency department with 2 days of progressive left lower quadrant abdominal pain, fever, and constipation. Examination shows focal left lower quadrant tenderness without peritoneal signs. CT abdomen/pelvis with IV contrast shows sigmoid diverticulitis with a 2.5 cm pericolic fluid collection and no free intraperitoneal air. What is the most appropriate next step in management?

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