Recurrent Sigmoid Diverticulitis Managed with Adjunctive Daiobotanpito: A Case Report

Diverticulitis is usually managed conservatively. However, recurrent or complicated cases may require surgery. Daiobotanpito (DBT) is a traditional Japanese medicine used to treat inflammatory conditions of the lower abdomen. We report a case of recurrent sigmoid diverticulitis with a history of diverticular abscess managed with DBT as an adjunctive therapy. A 54-year-old woman was treated with antibiotics and DBT, after which oral intake was resumed without a recurrence of symptoms, thus allowing for discharge without surgery. She remained recurrence-free for one year while continuing the Kampo therapy. DBT may therefore be a potential adjunctive therapeutic option for patients with recurrent diverticulitis who wish to avoid surgery.