DOI: https://doi.org/10.36347/sjmcr.2025.v13i07.054

Pages: 1733-1735

Ischemic colitis is the most common vascular disorder affecting the colon, particularly among the elderly. While the condition often follows a benign course, its subtle forms—especially when localized to diverticular segments—can challenge even experienced clinicians. This case report underscores the pivotal role of contrast-enhanced CT imaging in diagnosing non-occlusive ischemia and identifies mucosal hypoenhancement as an underrecognized but vital marker. The discussion highlights the particular vulnerability of diverticular segments to ischemic insult and the imperative need for early radiological assessment to guide conservative management and avoid unnecessary interventions. Recognizing mucosal hypoenhancement in diverticular segments may help avoid misdiagnosis and prevent overtreatment in elderly patients presenting with nonspecific abdominal symptoms.