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 19 June 2018

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GastroenterologyColo-rectum and anus

Diverticular disease

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Perforated diverticular disease of the colon.
Perforated diverticular disease of the colon G0605 A 76-year old woman who developed left iliac fossa pain three days after a left total hip replacement. She was on steroids for rheumatoid arthritis. On examination she was ill with a left iliac fossa peritonitis. The plain radiographs and a CT scan confirmed the presence of free intra-abdominal gas. She underwent a laparotomy. Some purulent fluid was found and there was a perforated sigmoid diverticulum.

The photograph shows the apex of the sigmoid colon with some purulent exudate at the site of the perforation.


Peter Devitt, Adelaide, Australia

Perforated diverticular disease of the colon.

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