Thigh abscess following acute diverticulitis. Report of two cases

 
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Annals of Gastroenterology
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Thigh abscess following acute diverticulitis. Report of two cases (EN)

A.D. Vekris, K.H. Katsanos, E.V. Tsianos, A.M. Kappas, N.S. Xeropotamos, V.E. Nousias,

SUMMARY The incidence of inflammatory diverticular disease in patients with diverticulosis has been reported to range from 12%-35%. Delayed diagnosis and treatment of perforated diverticulitis is accompanied by high mortality. Perforation of diverticulum is often localized and may result in abscess formation. This abscess may resolve, may rupture into the peritoneal cavity or may drain into various organs or viscera. Finally, the abscess may track intraperitoneally or extraperitoneally. In both cases presented here, there was a communication of the inflammatory divericular disease of the sigmoid colon with an abscess cavity in the Scarpa’s triangle, tracking down through the femoral canal in the first case, and through the abdominal wall in the second case. The underlying intraabdominal lesion was treated by sigmoidectomy according to Hartmann’s procedure in the first case and by sigmoidectomy and an end- to- end anastomosis in the second. These procedures were combined with local drainage of the thigh abscesses with good results. In conclusion, it becomes apparent that in such cases, where the underlying intraabdominal lesion is overlooked, the mortality rate is as high as 93%. However, if the underlying intraperitoneal pathology is early recognised and successfully treated, in combination with thigh abscess management, the overall mortality drops to 34%. Key Words: thigh abscess, acute diverticulitis, management (EN)

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Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2007-03-19


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 17, No 2 (2004) (EN)



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