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Sigmoid Stricture of Complicated Diverticulitis: Case Report and Review of the Literature

 

Sigmoid Stricture of Complicated Diverticulitis: Case Report and Review of the Literature

Marco V Medina-Zea*

Bariatrics, General Surgery, MD. FACS. FASMBS, Katharine Glover OMS-3, USA

*Corresponding author: Dr. Marco V Medina-Zea, MD. FACS. FASMBS, Katharine Glover OMS-3, USA, E-mail: viniciomedinamd@gmail.com

Received: April 30, 2021; Accepted: May 06, 2021; Published: May 15, 2021

Citation: Marco V Medina-Zea, et al. Sigmoid Stricture of Complicated Diverticulitis: Case Report and Review of the Literature. Clin Image Case Rep J. 2021; 3(5): 162.

Abstract

Sigmoid stricture secondary to repeated episodes of complicated diverticulitis has an incidence of 0.09%. Our patient is a 36-year-old Caucasian male who presented with a significant history of worsening abdominal pain for over 11 years. He was repeatedly treated with a non-operative approach that consisted of antibiotics during multiple hospital admissions. A sigmoidoscopy was attempted by his gastroenterologist, but the scope was unable to pass the sigmoid, increasing the concern for stricture and potential large bowel obstruction. After a complete course of antibiotics, he was referred to our surgical team. Confirmation with an abdominal computed tomography (CT) scan showed that the inflammatory mucosa had subsided. A colonoscopy was then conducted by the surgical team and biopsies were obtained. A one-stage laparoscopic sigmoid resection with colorectal anastomosis was performed.

Keywords: Diverticulitis; Diverticulosis; Sigmoid stricture; Case report

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