Colonic Diverticulitis Complicating Colo-ovarian Fistula and Tuboovarian Abscess Formation in on Old Woman.
10.4235/jkgs.2014.18.1.24
- Author:
Joon Ho JEON
1
;
Dong Il JEONG
;
Tae Hyung KWON
;
Hyeon Seok KIM
;
Dong Seok LEE
;
Seung Hwan LEE
;
Yong Kyu LEE
Author Information
1. Department of Internal Medicine, Good Gang-An Hospital, Busan, Korea. lyk59@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Colonic diverticulitis;
Complication;
Colo-ovarian fistula;
Tuboovarian abscess
- MeSH:
Abdominal Pain;
Abscess*;
Aged;
Anti-Bacterial Agents;
Colon*;
Colon, Sigmoid;
Diarrhea;
Diverticulitis;
Diverticulitis, Colonic*;
Diverticulum;
Diverticulum, Colon;
Female;
Fistula*;
Gastrointestinal Hemorrhage;
Hemorrhage;
Humans;
Inflammation;
Sigmoidoscopy;
Suppuration
- From:Journal of the Korean Geriatrics Society
2014;18(1):24-29
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The inflammation of colonic diverticulum, diverticulitis, is occasionally accompanied by several complications, such as bleeding, bowel obstruction, fistula and abscess formation. Both colo-ovarian fistula and tuboovarian abscess formation, as complications of diverticulitis, are rare. Here, we report a case of colonic diverticulitis which ultimately resulted in colo-ovarian fistula and tuboovarian abscess formation. A 76-year-old female was presented with lower abdominal pain, diarrhea and intermittent hematochezia for about 1 month. According to the abdominal computed tomography, tuboovarian abscess was shown to adhere to the inflamed sigmoid diverticulum. Sigmoidoscopy revealed pus flowing from the opening of the diverticulum at the sigmoid colon. Hence, the patient underwent oophorosalpingectomy and low anterior resection. Thereafter, she was treated with bowel rest and broad spectrum antibiotics, and finally recovered. Although rare, colonic diverticulitis may result in colo-ovarian fistula causing tuboovarian abscess formation in postmenopausal patients. Early recognition of the condition and appropriate treatment, including surgery and antibiotics, are necessary in order to achieve full recovery from complicated diverticulitis.
