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Related Experiment Video

Updated: Aug 27, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

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Complicated Diverticulitis With Associated Small Bowel Obstruction: A Case Report.

Florian A Walter1, Gilbertas Rimkus2

  • 1Transitional Year Residency, Campbell University/Conway Medical Center, Conway, USA.

Cureus
|September 26, 2022
PubMed
Summary

This case highlights a rare complication of diverticulitis: abscess formation leading to small bowel obstruction. Early recognition and surgical intervention are crucial for managing this severe presentation.

Keywords:
diverticular bowel obstructionileostomy closuresigmoid diverticulitissmall-bowel obstructionsurgical anastomosis

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Diverticulitis is a prevalent colonic disease with varied clinical manifestations.
  • Complicated diverticulitis, particularly with small bowel obstruction, represents a less frequent but serious outcome.

Observation:

  • A 58-year-old obese male initially presented with uncomplicated diverticulitis.
  • He returned two days later with exacerbated symptoms, revealing abscess formation and small bowel obstruction on CT scan.

Findings:

  • The patient underwent exploratory laparotomy, adhesiolysis, bowel resection, anastomosis, and a temporary ileostomy.
  • Small bowel obstruction is an uncommon complication of diverticulitis, necessitating prompt diagnosis and management.

Implications:

  • This case underscores the importance of considering delayed complications in diverticulitis management.
  • Effective surgical strategies are vital for addressing complex cases involving abscess and obstruction, potentially avoiding less invasive procedures like percutaneous drainage.