scholarly journals Perforated sigmoid diverticulitis with abscess formation

2021 ◽  
Author(s):  
Ammar Haouimi
2021 ◽  
Vol 8 (3) ◽  
pp. 1000
Author(s):  
Gary S. L. Hung ◽  
Margaret M. Mansbridge ◽  
Michelle L. Cooper ◽  
Cu Tai Lu

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.  


2021 ◽  
Vol 3 (2) ◽  
pp. 580-583
Author(s):  
Ayesha Kamal ◽  
Furqan Bullar ◽  
Dilhana Badurdeen ◽  
Tinsay Woreta ◽  
Venkata S. Akshintala

Author(s):  
Ashraf Talaat Youssef

Abstract Background The intersphincteric plane (ISP) is a potential space between the external and the internal anal sphincters. About 90% of the perianal sepsis is caused by an obstruction of the ducts of anal glands with subsequent secondary bacterial infection. The imaging modalities used to diagnose perianal sepsis are the ultrasound via endoanal and transperineal routes and magnetic resonance imaging. Objective  The study aimed to identify the various patterns of the ISP sepsis and their incidence among our study group and to clarify the significance of ISP in the pathogenesis of anorectal abscesses and various types of perianal fistula tracts, to optimize the surgical management. Methods Retrospective descriptive study in which 57 patients with an ISP sepsis were evaluated with full medical history, clinical exam, and ultrasound; the final diagnosis was based on combining the results of ultrasound, digital rectal examination under anesthesia, and the operative results. Results The current study showed many patterns of the ISP sepsis and estimated the incidence of each pattern among our study group; such patterns could be fistula tracts, sinus tracts, abscesses, intersphincteric abscess with supralevator extension, sinus with abscess formation, fistula with abscess formation, distension of the ISP with free pus, and other complex patterns like horse abscess, abscess with transsphincteric sinus, and ISP fistula/sinus with transsphincteric branches. Conclusion Understanding the role of the ISP in the pathogenesis of anorectal abscesses and perianal fistula tracts can help in reaching the optimum way of management.


2011 ◽  
Vol 93 (6) ◽  
pp. e89-e90 ◽  
Author(s):  
M Anderton ◽  
B Griffiths ◽  
G Ferguson

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.


2020 ◽  
Vol 63 (8) ◽  
pp. 1108-1117
Author(s):  
Fahima Dossa ◽  
Sergio A. Acuna ◽  
Nancy N. Baxter ◽  
Ahmed M. Bayoumi

1971 ◽  
Vol 50 (6) ◽  
pp. 1635-1641 ◽  
Author(s):  
William K. Elwood

β-Streptococcal infection and its sequelae did not play a significant role in the development of hypoplastic enamel defects. Hypoplastic enamel faults occurred that could not be related to any of the experimental procedures. A genetic or other component may influence the susceptibility of guinea pigs to hypoplastic enamel lesions.


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