The Ehlers-Danlos syndromes (EDS) are a group of connective tissue disorders characterized by triad of joint hypermobility, skin extensibility, and tissue fragility. Ehlers-Danlos syndrome type IV places patients at risk for life-threatening, spontaneous, vascular or visceral rupture due to reduced or abnormal secretion of type III collagen. We present an adolescent male who was found to have a perisigmoid abscess with a fistula connecting to adjacent sigmoid colon secondary to undiagnosed EDS type IV. Conservative management with antibiotics and bowel rest was pursued to allow for elective resection for his acute complicated diverticulitis at a safer time.
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http://dx.doi.org/10.14309/crj.2016.14 | DOI Listing |
AJNR Am J Neuroradiol
June 2024
Pediatric Otorhinolaryngology Unit, "Dana" Children's Hospital (A.D., O.W.), Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Cureus
November 2022
Internal Medicine, University of California, San Francisco Fresno, Fresno, USA.
Acute diverticulitis is a common medical condition with known complications such as abscess, perforation, obstruction, and fistula formation, among others. Ureteral complications such as hydronephrosis have rarely been reported in the literature. We report the case of a 40-year-old man with diverticulitis found to have a perisigmoid abscess complicated by left-sided hydronephrosis.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2021
Division of Colon and Rectal Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA.
Introduction: Bilateral adrenal hemorrhage can lead to acute adrenal insufficiency. This is a rare complication in the post-operative setting, and we present a case in which it developed after a colectomy for perforated diverticulitis.
Presentation Of Case: The patient is a 65-year-old female who presented with abdominal pain, nausea, emesis, and hematochezia, and CT scan showing sigmoid diverticulitis with peri-sigmoid abscess.
Case Rep Radiol
February 2020
Maseno University School of Medicine, P.O. Box 1777-20200 Kericho, Kenya.
Obturator internus muscle (OIM) abscess occurs rarely in adults. Accurate diagnosis is often hindered and delayed due to the deep location of the abscess and the nonspecific clinical features. Even of rarer occurrence is rupture of the obturator internus muscle abscess into the perirectal space and retroperitoneum causing extensive retroperitoneal necrotizing soft tissue infection.
View Article and Find Full Text PDFEndoscopy
May 2017
Endoscopy Unit, Paoli Calmette Institute, Marseille, France.
Endoscopic ultrasound (EUS)-guided pelvic abscess drainage has been reported but long-term data remain limited. This two-center study evaluated long-term outcome of EUS-guided pelvic abscess drainage. Between May 2003 and December 2015, 37 consecutive patients were treated for perirectal or perisigmoid abscesses via EUS-guided drainage using plastic or lumen-apposing metal stent (LAMS).
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