c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Perforated Diverticulitis: 1

A D V E R T I S E M E N T

   
 

A 49-year-old man presented with a 24h history of low abdominal pain. There was no significant past history. He was focally tender in the lower abdomen with a WBC count of 16K. CT scan was obtained which showed an inflamed rectosigmoid with fat stranding consistent with acute diverticulitis. There was no evidence of abscess or free air.      

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Perforated Diverticulitis: 2

A D V E R T I S E M E N T

   
 

The inflammation extended to the upper rectum. The patient was admitted and started on broad-spectrum IV antibiotic coverage.       

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Perforated Diverticulitis: 3

A D V E R T I S E M E N T

   
 

Twenty-four hours after admission, the patient desaturated. Chest X-ray showed a large amount of free air under the diaphragms. He was taken urgently to the operating room for laparotomy.       

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This page was last modified on 6/5/2009.