Colonic Diverticular Disease
6 results
1 - 6
Benign Disease- A 56-year-old man with a remote history of uncomplicated sigmoid diverticulitis presents with pneumaturia, fecaluria, and frequent urinary tract infections. Colonoscopy showed sigmoid diverticulosis. Computed tomography (CT) of the abdomen and pelvis showed air in the bladder. Cystoscopy showed 1.5 cm defect in the bladder. The best next step in the management of this patient is
- A 65-year-old man presents to the emergency department 10 days after colonoscopy that had a significant lower gastrointestinal (GI) bleed. Review of the colonoscopy reports he had grade 3 hemorrhoids, a 20-mm semipedunculated polyp in the ascending colon removed with hot snare, a 8-mm sessile polyp removed in the transverse colon by cold snare, and sigmoid diverticulosis. Computed tomography angiography (CTA) is most likely to demonstrate a blush in the
- A 65-year-old woman comes to the emergency department with progressively worsening constipation and abdominal pain over the past 3 months. She had a few mild attacks of diverticulitis. Her last colonoscopy was 2 years ago after her first episode of diverticulitis, and there were no concerns for malignancy. She is afebrile with normal vital signs; her last bowel movement was 3 days ago, and she has mostly left-sided abdominal pain. Computed tomography (CT) shows no free air or active inflammation but a significantly narrowed 8 cm length of sigmoid colon with upstream dilation of the colon, suggestive of a diverticular stricture (see figures). The best treatment option is
- Perioperative
- On postoperative day 2, after elective sigmoid resection and primary anastomosis for diverticular disease, a patient reports multiple bright red bloody stools that persists over the next 12–24 hours. Initially, he had a heart rate of 110 and blood pressure of 100/50 mmHg, and he sustained a hemoglobin drop from 12 g/dL to 8 g/dL, requiring transfusion. After resuscitation, what is the best next step in management?
- A 56-year-old patient with abdominal pain is found to have free air following a difficult screening colonoscopy where no intervention was performed. The most likely site of perforation is the
- Colon and Rectal Surgery Educational Program (CARSEP)