ASCRS U | Colonic Diverticular Disease

Colonic Diverticular Disease

3 results

1 - 3

Benign Disease
- A 50-year-old man presents with complaints of recurrent urinary tract infections and pneumaturia. Computed tomography demonstrates a thickened sigmoid colon immediately adjacent to the dome of the urinary bladder. The bladder wall is thickened and an air-fluid level is present within the bladder. His first screening colonoscopy was performed 3 months ago and demonstrated sigmoid diverticulosis with no other suspicious findings. What is the best next step in management?
Perioperative
- A 56-year-old otherwise healthy man underwent an elective laparoscopic sigmoid resection for diverticular disease 5 days ago has worsening abdominal pain, fever, and chills. On examination, his temperature is 102.2°F (39°C), pulse 120 beats/min, and blood pressure 85/58 mm Hg, and his abdomen is markedly tender in the bilateral lower quadrants with rebound and guarding. What is the best next step in management?
Anorectal Disease
- A 69-year-old man presents for evaluation of rectal bleeding, incontinence, and tenesmus. One year ago, he underwent external beam radiation therapy for prostate cancer. On flexible sigmoidoscopy, friable mucosa with telangiectasias is observed in the rectum above the dentate line to 15 cm. What is the next treatment choice?
1 - 3 of 3 records

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