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Complicated Diverticulitis With Associated Small Bowel Obstruction: A Case Report

Diverticulitis is a common disease of the colon with a broad spectrum of presentations. This case outlines a less commonly seen presentation of delayed complicated diverticulitis with abscess formation and associated small bowel obstruction. This report outlines the case of a 58-year-old obese male...

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Autores principales: Walter, Florian A, Rimkus, Gilbertas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9495291/
https://www.ncbi.nlm.nih.gov/pubmed/36159356
http://dx.doi.org/10.7759/cureus.28942
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author Walter, Florian A
Rimkus, Gilbertas
author_facet Walter, Florian A
Rimkus, Gilbertas
author_sort Walter, Florian A
collection PubMed
description Diverticulitis is a common disease of the colon with a broad spectrum of presentations. This case outlines a less commonly seen presentation of delayed complicated diverticulitis with abscess formation and associated small bowel obstruction. This report outlines the case of a 58-year-old obese male who initially presented to the emergency department with uncomplicated diverticulitis, was discharged home, and returned two days later with worsening symptoms. A repeat computed tomography (CT) scan demonstrated abscess formation with an associated small bowel obstruction. He underwent midline exploratory laparotomy with adhesiolysis of the portion of obstructed small bowel and resection of the diseased segment with primary anastomosis and diverting loop ileostomy. He had an ileostomy reversal at a later date. Small bowel obstruction is a less observed complication of diverticulitis. This report serves to educate on the presentation of these patients as well as to discuss the potential surgical management of these patients. If this patient had presented without the small bowel obstruction, he may have just needed percutaneous drainage.
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spelling pubmed-94952912022-09-24 Complicated Diverticulitis With Associated Small Bowel Obstruction: A Case Report Walter, Florian A Rimkus, Gilbertas Cureus General Surgery Diverticulitis is a common disease of the colon with a broad spectrum of presentations. This case outlines a less commonly seen presentation of delayed complicated diverticulitis with abscess formation and associated small bowel obstruction. This report outlines the case of a 58-year-old obese male who initially presented to the emergency department with uncomplicated diverticulitis, was discharged home, and returned two days later with worsening symptoms. A repeat computed tomography (CT) scan demonstrated abscess formation with an associated small bowel obstruction. He underwent midline exploratory laparotomy with adhesiolysis of the portion of obstructed small bowel and resection of the diseased segment with primary anastomosis and diverting loop ileostomy. He had an ileostomy reversal at a later date. Small bowel obstruction is a less observed complication of diverticulitis. This report serves to educate on the presentation of these patients as well as to discuss the potential surgical management of these patients. If this patient had presented without the small bowel obstruction, he may have just needed percutaneous drainage. Cureus 2022-09-08 /pmc/articles/PMC9495291/ /pubmed/36159356 http://dx.doi.org/10.7759/cureus.28942 Text en Copyright © 2022, Walter et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Walter, Florian A
Rimkus, Gilbertas
Complicated Diverticulitis With Associated Small Bowel Obstruction: A Case Report
title Complicated Diverticulitis With Associated Small Bowel Obstruction: A Case Report
title_full Complicated Diverticulitis With Associated Small Bowel Obstruction: A Case Report
title_fullStr Complicated Diverticulitis With Associated Small Bowel Obstruction: A Case Report
title_full_unstemmed Complicated Diverticulitis With Associated Small Bowel Obstruction: A Case Report
title_short Complicated Diverticulitis With Associated Small Bowel Obstruction: A Case Report
title_sort complicated diverticulitis with associated small bowel obstruction: a case report
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9495291/
https://www.ncbi.nlm.nih.gov/pubmed/36159356
http://dx.doi.org/10.7759/cureus.28942
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