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

2021 ◽  
Vol 8 (3) ◽  
pp. 1000
Author(s):  
Gary S. L. Hung ◽  
Margaret M. Mansbridge ◽  
Michelle L. Cooper ◽  
Cu Tai Lu
Keyword(s):  
Computed Tomography ◽  
Abscess Formation ◽  
Sigmoid Diverticulitis ◽  
Perforated Diverticulitis ◽  
Left Flank ◽  
Abdominal Abscesses ◽  
Presacral Abscess ◽  
External Oblique

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.  

scholarly journals Giant sigmoid diverticulitis mimicking acute appendicitis

2011 ◽  
Vol 93 (6) ◽  
pp. e89-e90 ◽  
Author(s):  
M Anderton ◽  
B Griffiths ◽  
G Ferguson
Keyword(s):  
Computed Tomography ◽  
Iliac Fossa ◽  
Treatment Options ◽  
Sigmoid Diverticulitis ◽  
Acute Presentation ◽  
Rare Manifestation ◽  
Giant Sigmoid Diverticulum ◽  
Right Iliac Fossa Pain ◽  
Colonic Diverticula

Giant colonic diverticula are a rare manifestation of diverticular disease and there are fewer than 150 cases described in the literature. They may have an acute or chronic presentation or may remain asymptomatic and be found incidentally. As the majority (over 80%) of giant diverticula are located in the sigmoid colon, they usually present with left-sided symptoms but due to the variable location of the sigmoid loop, right-sided symptoms are possible. We describe the acute presentation of an inflamed giant sigmoid diverticulum with right iliac fossa pain. We discuss both the treatment options for this interesting condition and also the important role of computed tomography in the diagnosis and management of abdominal pain in elderly patients.

Computed tomography in the diagnosis and management of abdominal abscesses

1978 ◽  
Vol 3 (1) ◽  
pp. 287-294 ◽  
Author(s):  
S. G. Gerzof ◽  
A. H. Robbins ◽  
D. H. Birkett
Keyword(s):  
Computed Tomography ◽  
Diagnosis And Management ◽  
Abdominal Abscesses

scholarly journals Computed Tomography in the Diagnosis of Intra-abdominal Abscesses

1979 ◽  
Vol 189 (1) ◽  
pp. 29-33 ◽  
Author(s):  
RICHARD H. DAFFNER ◽  
MICHAEL D. HALBER ◽  
CARLISLE L. MORGAN ◽  
WILLIAM S. TROUGHT ◽  
WILLIAM M. THOMPSON ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Abscesses

Diagnosis of abdominal abscesses with computed tomography, ultrasound, and 111In leukocyte scans.

Radiology ◽  
1980 ◽  
Vol 137 (2) ◽  
pp. 425-432 ◽  
Author(s):  
J Q Knochel ◽  
P R Koehler ◽  
T G Lee ◽  
D M Welch
Keyword(s):  
Computed Tomography ◽  
Abdominal Abscesses

Computed tomography and post-laparotomy intra-abdominal abscesses

1982 ◽  
Vol 8 (4) ◽  
pp. 193-196 ◽  
Author(s):  
P. Trunet ◽  
J. R. Le Gall ◽  
P. -L. Fagniez ◽  
D. Larde ◽  
N. Vasile ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Abscesses

scholarly journals An unexpected cause of persistent bacteraemia and portomesenteric venous gas

2021 ◽  
Vol 84 (2) ◽  
pp. 375-377
Author(s):  
A Loobuyck ◽  
G Vermeersch ◽  
M D’Hondt ◽  
T Billiet
Keyword(s):  
Computed Tomography ◽  
Lower Abdominal Pain ◽  
Transoesophageal Echocardiography ◽  
Clinical Findings ◽  
Sigmoid Diverticulitis ◽  
Inferior Mesenteric Vein ◽  
Positron Emission ◽  
Intravenous Antibiotics ◽  
Pet Ct ◽  
Portomesenteric Venous Gas

We report the case of a 59-year old man with portomesenteric venous gas (PMVG) due to inferior mesenteric vein fistulization caused by sigmoid diverticulitis with an unusual evolution. The patient initially presented with classic symptoms of lower abdominal pain and fever. Diagnosis of uncomplicated sigmoid diverticulitis was confirmed on computed tomography (CT) for which intravenous antibiotics were initiated. Hemocultures were positive for omnisensitive Escherichia Coli, but despite adequate intravenous antibiotic therapy, episodes of bacteraemia persisted and hemocultures remained positive. Repeat CT scan demonstrated regression of inflammation without signs of abcedation or perforation consistent with clinical findings. Endocarditis was excluded with a normal transoesophageal echocardiography. Finally, positron emission tomography-computed tomography (PET-CT) suspected a colovenous fistula and the presence of PMVG. The patient was successfully treated with laparoscopic sigmoidectomy. This case report summarises the diagnostic pathway and aims for higher awareness of non-ischemic PMVG causes.

scholarly journals Left flank pain during pregnancy with an unpredictable etiology: think of nonhemorrhagic adrenal infarction

2021 ◽  
pp. FSO718
Author(s):  
Myriam Jerbaka ◽  
Tracy Slaiby ◽  
Zahraa Farhat ◽  
Yara Diab ◽  
Nawal Toufayli ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Pregnant Patient ◽  
Flank Pain ◽  
Computed Tomography Scan ◽  
Left Flank ◽  
Left Flank Pain ◽  
Tomography Scan ◽  
Adrenal Infarction

Abdominal pain is the most presenting complaint during pregnancy with multiple etiologies. The diagnosis could be unpredictable. We present a case of 36-year-old pregnant woman gravida 10 para 7 abortus 2 at 36 + 5 weeks of gestation presenting twice for an increasing left abdominal pain, not relieved despite analgesics. She was delivered for severe oligohydramnios. After delivery, she was found to have a left adrenal infarction on computed tomography scan. She was found to have two mutations of the gene  MTHFR 677CC. Our presented case should remind physicians to consider the presence of thromboembolic state during pregnancy. The diagnosis of adrenal infarction should be among the differentials of an ambiguous flank pain that is resilient to medical therapy. Diagnosis in a pregnant patient can be easily confirmed with MRI, after which anticoagulation should be started and the workup for hypercoagulable state investigated.

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