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

Authors

  • Gary S. L. Hung Department of Surgery, Gold Coast University Hospital, Southport, QLD, Australia http://orcid.org/0000-0003-1195-0522
  • Margaret M. Mansbridge Department of Surgery, Gold Coast University Hospital, Southport, QLD, Australia
  • Michelle L. Cooper Department of Surgery, Gold Coast University Hospital, Southport, QLD, Australia
  • Cu Tai Lu Department of Surgery, Gold Coast University Hospital, Southport, QLD, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20210511

Keywords:

Perforation, Abscess, Diverticulitis

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.  

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.

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Published

2021-02-25

Issue

Section

Case Reports