Left-sided sigmoid diverticulitis presenting as right-sided thigh abscess.

作者: Patrick Bates Murphy , Paul Belliveau

DOI: 10.9738/CC144.1

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摘要: Abstract Acquired diverticular disease of the colon is very common in North American population. Atypical presentations are usually due to complications and rarely predominant complaint may be related an associated fistula. Thigh abscesses colocutaneous fistula represent uncommon complication sigmoid diverticulitis. In rare cases, a thigh abscess only symptom, but gas should raise index suspicion for bowel pathology. We report second known case left-sided diverticulitis leading isolated right with no gastrointestinal symptoms.

参考文章(9)
T. Fehmer, M. Citak, T.A. Schildhauer, Sigmoido-gluteal fistula--a rare complication in clinically asymptomatic chronic diverticulitis. Acta Chirurgica Belgica. ,vol. 111, pp. 232- 235 ,(2011) , 10.1080/00015458.2011.11680744
ITZHAK BROOK, EDITH H. FRAZIER, Aerobic and anaerobic microbiology in intra-abdominal infections associated with diverticulitis. Journal of Medical Microbiology. ,vol. 49, pp. 827- 830 ,(2000) , 10.1099/0022-1317-49-9-827
BENTLEY P. COLCOCK, FRED D. STAHMANN, Fistulas complicating diverticular disease of the sigmoid colon. Annals of Surgery. ,vol. 175, pp. 838- 846 ,(1972) , 10.1097/00000658-197206010-00003
Ori D. Rotstein, Timothy L. Pruett, Richard L. Simmons, Thigh abscess. An uncommon presentation of intraabdominal sepsis. American Journal of Surgery. ,vol. 151, pp. 414- 418 ,(1986) , 10.1016/0002-9610(86)90481-2
R. Thakral, U. K. Debanath, T. Damodaran, C. V. R. Prasad, Thigh infection and subcutaneous emphysema: an emergency, review of literature and case discussion. Irish Journal of Medical Science. ,vol. 180, pp. 333- 336 ,(2011) , 10.1007/S11845-009-0380-Y
Carlos M. Nuño-Guzmán, Jesús M. Hernández-Carlín, Francisco I. Almaguer, Colovesical, coloenteric, colocutaneous fistula, and hip septic arthritis secondary to sigmoid diverticulitis International Journal of Colorectal Disease. ,vol. 25, pp. 793- 794 ,(2010) , 10.1007/S00384-009-0861-5
C.-A. Vasilevsky, P. Belliveau, J. L. Trudel, B. L. Stein, P. H. Gordon, Fistulas complicating diverticulitis International Journal of Colorectal Disease. ,vol. 13, pp. 57- 60 ,(1998) , 10.1007/S003840050135
Jeffrey Chankowsky, Pierre Dupuis, Philip H. Gordon, Sigmoid diverticulitis presenting as a lower extremity abscess: report of a case. Diseases of The Colon & Rectum. ,vol. 44, pp. 1711- 1713 ,(2001) , 10.1007/BF02234396
Grant V. Rodkey, Claude E. Welch, Diverticulitis of the colon: evolution in concept and therapy. Surgical Clinics of North America. ,vol. 45, pp. 1231- 1243 ,(1965) , 10.1016/S0039-6109(16)37690-3