DOI: http://dx.doi.org/10.18203/2349-2902.isj20210511

Perforated sigmoid diverticulitis masquerading as multiple intra and extra abdominal disseminated abscesses

Gary S. L. Hung, Margaret M. Mansbridge, Michelle L. Cooper, Cu Tai Lu

Abstract


Abscess formation in perforated diverticulitis is most commonly confined to the pelvis, with other intraperitoneal and extraperitoneal locations rarer in the literature. Presented here is the case of a 63-year-old male who was diagnosed with perforated diverticulitis which manifested in multiple intra- and extra-abdominal abscesses. These were identified on abdominopelvic computed tomography to include a presacral abscess, bilateral psoas abscesses, a large left flank abscess located between the internal and external oblique muscles, as well as osteomyelitis of the S1 vertebra. To the best of the authors’ knowledge, this is the first reported case in the literature with this disseminated constellation of abscesses secondary to acute perforated diverticulitis.  


Keywords


Perforation, Abscess, Diverticulitis

Full Text:

PDF

References


Singh B, May K, Coltart I, Moore NR, Cunningham C. The long-term results of percutaneous drainage of diverticular abscess. Ann Roy Col Surge Eng. 2008;90(4):297-301.

Onur MR, Akpinar E, Karaosmanoglu AD, Isayev C, Karcaaltincaba M. Diverticulitis: a comprehensive review with usual and unusual complications. Insights Into Imaging. 2017;8(1):19-27.

Vasileios R, Anna G, Christos L, Asimina T, Sofia P, Vasiliki K. Abdominal wall abscess due to acute perforated sigmoid diverticulitis: a case report with MDCT and US findings. Case Rep Radiol. 2013;2013.