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Related Concept Videos

Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

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Related Experiment Video

Updated: May 23, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
07:22

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Published on: June 13, 2025

Right-sided sigmoid diverticular perforation.

Andrew Little1, Andy Culver

  • 1Ohio University College of Osteopathic Medicine, Affinity Medical Center Emergency Department, Massillon, Ohio.

The Western Journal of Emergency Medicine
|March 31, 2012
PubMed
Summary
This summary is machine-generated.

Diverticulosis can lead to diverticulitis, a condition causing complications like abscesses. This case highlights a rare necrotizing abdominal wall abscess from a small perforation in geriatric patients.

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Last Updated: May 23, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
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Published on: June 13, 2025

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Area of Science:

  • Gastroenterology
  • Geriatric Medicine
  • Surgical Pathology

Background:

  • Diverticulosis is highly prevalent in geriatric populations, with 10-25% developing diverticulitis.
  • Common diverticulitis complications include phlegmon, fistula, obstruction, bleeding, perforation, and colonic abscess.
  • Extra-abdominal necrotizing abscess is a rare but severe complication.

Purpose of the Study:

  • To report a rare case of necrotizing abdominal wall abscess.
  • To emphasize the atypical presentations of diverticular disease in the elderly.

Main Methods:

  • Case report presentation.
  • Review of clinical presentation, diagnostic findings, and management.
  • Analysis of the etiology of the extra-abdominal abscess.

Main Results:

  • An 83-year-old female presented with a necrotizing abdominal wall abscess.
  • The abscess was secondary to a right-sided diverticular microperforation.
  • This represents an uncommon manifestation of diverticulitis.

Conclusions:

  • Diverticular microperforation can result in rare, severe complications like necrotizing extra-abdominal abscesses.
  • Clinicians should consider unusual presentations of diverticulitis in elderly patients.
  • Prompt recognition and management are crucial for such rare complications.