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Colo-cutaneous fistula in the setting of complicated sigmoid diverticulitis previously managed with percutaneous drainage: a case report.
J Surg Case Rep
January 2025
DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136, United States.
Colo-cutaneous fistulas are a rare complication of diverticular disease. Percutaneous drainage offers a promising alternative to surgical intervention in the management of complicated diverticular disease with abscess formation. Recent case studies and literature reviews support its efficacy in achieving abscess resolution and reducing the need for surgery.
View Article and Find Full Text PDFRare symptom of left inguinal abscess secondary to a retroperitoneal perforation of diverticulitis of the sigmoid colon: A case report.
Medicine (Baltimore)
September 2024
Department of Surgery, International University of Health and Welfare Hospital, Iguchi, Nasushiobara, Tochigi, Japan.
Article Synopsis
- A 70-year-old woman presented with left inguinal swelling due to sigmoid colon diverticulitis, which led to the formation of a large abscess in the left inguinal region.
- Diagnosis was confirmed through imaging, revealing multiple diverticula and an associated abscess, prompting intervention.
- Treatment involved percutaneous drainage and a 14-day antibiotic regimen, resulting in reduced inflammation and complete healing without recurrence.
Effectiveness of Treatment with Antibiotics Alone in Patients with Acute Diverticulitis and Pelvic Abscesses.
Surg Infect (Larchmt)
September 2024
Servicio de Cirugía General y del Aparatado Digestivo, Hospital Universitario de Badajoz, Badajoz, Spain.
Article Synopsis
- Limited evidence exists on treating acute diverticulitis (AD) with pelvic abscesses using only antibiotics, prompting a study to compare outcomes with pericolic abscesses.
- A retrospective analysis of 58 patients revealed similar success rates in antibiotic treatment for both pelvic (91.7%) and pericolic (96.7%) abscesses, with no significant differences in recurrence or need for elective surgery.
- The findings suggest that antibiotic therapy alone is effective and safe for pelvic abscesses, indicating that percutaneous drainage may not be necessary in all cases.
Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: A case report.
SAGE Open Med Case Rep
January 2024
Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.
Actinomycosis is a rare, chronic, and suppurative disease caused by species, which are filamentous, obligate, Gram-positive bacteria. This report presents a case of anterior abdominal actinomycosis in a 40-year-old female with a history of intrauterine contraceptive device placement. The patient presented with severe abdominal pain, an abdominal mass, low-grade fever, and weight loss.
View Article and Find Full Text PDFManagement of acute diverticulitis with pericolic free gas (ADIFAS): an international multicenter observational study.
Int J Surg
April 2023
Department of General Surgery, Yeovil District Hospital NHS Foundation Trust, Yeovil, UK.
Background: There are no specific recommendations regarding the optimal management of this group of patients. The World Society of Emergency Surgery suggested a nonoperative strategy with antibiotic therapy, but this was a weak recommendation. This study aims to identify the optimal management of patients with acute diverticulitis (AD) presenting with pericolic free air with or without pericolic fluid.
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