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Diverticular Disease of the Colon

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...

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Appendicitis

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Inflammatory Bowel Disease I: Introduction

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Inflammatory Bowel Disease II: Crohn's Disease

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Related Experiment Videos

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

Patrick Bates Murphy¹, Paul Belliveau

¹1 Queen's University School of Medicine, Ontario, Canada.

International Surgery

|January 9, 2013

Summary

Acquired diverticular disease can cause rare thigh abscesses. This case highlights a left-sided sigmoid diverticulitis presenting solely as an isolated right thigh abscess, emphasizing the need for suspicion of bowel pathology.

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Area of Science:

Gastroenterology
Surgical Pathology

Background:

Acquired diverticular disease of the colon is highly prevalent in North America.
Complications of diverticular disease can lead to atypical presentations, including fistulas.

Observation:

A colocutaneous fistula from sigmoid diverticulitis can manifest as a thigh abscess.
Gas within the thigh necessitates investigation for underlying bowel pathology.

Findings:

This report details the second known case of left-sided sigmoid diverticulitis.
The diverticulitis resulted in an isolated right thigh abscess as the sole presenting symptom.
The patient exhibited no gastrointestinal symptoms.

Implications:

Thigh abscesses, particularly those with gas, warrant a high index of suspicion for occult bowel pathology.
This case underscores the importance of considering diverticulitis in the differential diagnosis of unexplained thigh abscesses.
Early recognition and diagnosis are crucial for effective management of such rare complications.