Complicated Diverticulitis and Pelvic Radiation Leading to Colonic Stricture, Colorectal Fistula, and Anal Stenosis
Recommended Citation
Pansuriya S, Ekkel E, Pearl L, and Hain J. Complicated Diverticulitis and Pelvic Radiation Leading to Colonic Stricture, Colorectal Fistula, and Anal Stenosis. Am Surg 2023.
Document Type
Article
Publication Date
5-10-2023
Publication Title
The American surgeon
Abstract
The purpose of this case is to highlight a rare case of sigmoid colon-to-rectum fistula. A 66-year-old man with a history of pelvic radiation and diverticulosis presented to the emergency department with a 3-week history of abdominal pain and watery diarrhea. Computed tomography (CT) imaging was significant for a sigmoid-to-rectum fistula with sigmoid stricture. The patient underwent a laparoscopic colectomy with end colostomy. Pathology revealed perforated diverticulitis. To date, there have been no cases reported in literature describing sigmoid-to-rectum fistula. In conclusion, it is important to consider the development of complex diverticular disease in patients with history of pelvic radiation.
Medical Subject Headings
Male; Humans; Aged; Diverticulitis; Colonic/complications/surgery; Constriction; Pathologic/surgery/complications; Diverticulitis/surgery; Fistula/surgery; Intestinal Obstruction/diagnostic imaging/etiology/surgery; Colorectal Neoplasms/surgery; Laparoscopy/adverse effects; acute care surgery; colorectal; diverticular disease; fistula; pelvic radiation
PubMed ID
37163698
ePublication
ePub ahead of print
Volume
89
Issue
9
First Page
3891
Last Page
3892
