The recurrently inflamed sigmoid and abscess are highlighted. The abscess was not considered favorable for CT or US-guided aspiration. The patient was again treated non-operatively and discharged after resolution of acute symptoms. The fluid collection progressively shrank on US followup, but she continued to have low-grade symptoms and local left lower quadrant tenderness over three months post-discharge and elective sigmoid resection was recommended.
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The abdomen was opened through a lower midline incision. The distal sigmoid was thickened and adherent to the fundus of the uterus. No residual fluid collection was found.
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