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 localized 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 localized perforation.

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Case information

rID: 13663
Published: 5th May 2011
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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