Managing Complicated Diverticulitis: A Multidisciplinary Approach to Left-Sided Colon Obstruction and Perforation

Alia Lutfi*, Syed Imran Ali Abdi, Amal Abbas Mohamed Ali Ellaithi, Mohamed Ahmed Nabil Abdaziz Elshobary, Sadir J Alrawi, Mohamed Sobhy Badr Sobei

Abstract

Colonic diverticulitis has become one of the most prevalent cases that a healthcare professional sees at the hospital, yet some patients with colonic diverticulitis can present with some rare complications such as stenosis, perforation, and abscess formation. We present to you a 52-year-old male who presented to our hospital with severe left-sided abdominal pain, aggravated by oral intake, nausea, and loss of appetite for one month. The patient had a medical history of a sigmoid ulcer with polyps and diverticula. After initial management and multiple diagnostic interventions, including CT scans and colonoscopy, the patient underwent a left-sided colectomy with colostomy. Histologic examination revealed diverticulitis with colonic perforation, fat necrosis, serositis, and abscess formation. Negative for dysplasia or malignancy. Post-operative recovery was complicated by respiratory failure, electrolyte imbalances, and sepsis. The patient required extensive ventilatory support, transfusions, and nutritional management.

Keywords

diverticulitis; obstruction; perforation; complication; timely multidisciplinary approach.

Cite This Article

Lutfi, A., Abdi, S. I. A., Ellaithi, A. A. M. A., Elshobary, M. A. N. A., Alrawi, S. J., Sobei, M. S. B. (2025). Managing Complicated Diverticulitis: A Multidisciplinary Approach to Left-Sided Colon Obstruction and Perforation. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 1: Jan-Feb 2025, Pages 145-154 URL: https://www.ijscia.com/wp-content/uploads/2025/01/Volume6-Issue1-Jan-Feb-No.835-145-154.pdf

Volume 6 | Issue 1: Jan – Feb 2025