Complicated Diverticulitis and Pelvic Radiation Leading to Colonic Stricture, Colorectal Fistula, and Anal Stenosis.
Document Type
Article
Publication Date
5-10-2023
Publication Title
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.
Volume
Online ahead of print
First Page
31348231175128
Last Page
31348231175128
Recommended Citation
Pansuriya S, Ekkel E, Pearl L, Hain J. Complicated diverticulitis and pelvic radiation leading to colonic stricture, colorectal fistula, and anal stenosis. Am Surg. 2023 May 10:31348231175128. doi: 10.1177/00031348231175128. Epub ahead of print. PMID: 37163698.
DOI
10.1177/00031348231175128
ISSN
1555-9823
PubMed ID
37163698