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Abdominal Abscesses and Destruction of Inguinal Canal with Mesh Dislocation caused by a Perforated Diverticulitis

Christoph Paasch1, Franziska Renger1, Sergej Baschinskij2

  • 1Department of General, Visceral and Cancer Surgery, Helios Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125 Berlin, Germany.

Case Reports in Surgery
|November 30, 2019
PubMed

Insights

Diverticulitis can cause severe abdominal complications. This case highlights a rare instance of perforated diverticulitis leading to abscesses and inguinal canal destruction, successfully treated with surgery.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Diverticulitis is a common gastrointestinal condition.
  • Complications can necessitate surgical intervention.

Observation:

  • A 66-year-old male presented with a large, painful left lower abdominal mass.
  • The mass was associated with cutaneous abscesses and inguinal canal destruction.

Findings:

  • Diagnosis of perforated diverticulitis with abdominal and cutaneous abscesses.
  • Mesh dislocation within the destroyed inguinal canal was noted.

Implications:

  • This case underscores the potential for severe, rare complications of diverticulitis.
  • Successful surgical management of complex perforated diverticulitis with inguinal involvement is demonstrated.

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