Perforated diverticulitis post right hemicolectomy

Case contributed by Dr Jeremy Jones

Presentation

Increasing abdominal pain post right hemicolectomy for cancer.

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Case Discussion

An uncomplicated right hemicolectomy was performed because of a suspicious polyp discovered at colonoscopy.  No nodal disease or metastasis and no local symptoms or obstruction. 

4 days following the procedure, she complained of increasing abdominal pain and lower abdominal tenderness which developed into localised peritonitis.

CT was requested to rule out any collection or complication related to the surgery.  Instead, it demonstrates acute inflammatory change around the sigmoid colon with diverticulitis with a localised perforation.

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Case Information

rID: 13663
Case created: 5th May 2011
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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