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Acute diverticulitis masquerading as unilateral sciatica-like symptoms
Victoria Novoselova1, Alexandre Lacasse1
1Department of Internal Medicine, SSM St. Mary's Hospital, St. Louis, Missouri, USA.
Abstract:
A 66 year-old female presented with Systemic Inflammatory Response Syndrome (SIRS), severe left thigh pain, and localized edema. Non-contrast Computed Tomography (CT) suggested the presence of air in the left thigh and no evidence of an acute intra-abdominal process. Blood cultures grew an anaerobic gram-negative microorganism identified as Bacteroides fragilis. Repeat CT imaging with intravenous (IV) contrast revealed acute diverticulitis and the presence of a retroperitoneal abscess with extension to the thigh muscle. Along with antimicrobial therapy, surgical intervention was needed. The patient required a sigmoid resection with end-colostomy which led to clinical improvement.
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