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Inicio Cirugía Española (English Edition) Abdominal Pain in an Elderly Man Secondary to Giant Sigmoid Diverticula
Journal Information
Vol. 95. Issue 7.
Pages 405 (August - September 2017)
Vol. 95. Issue 7.
Pages 405 (August - September 2017)
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DOI: 10.1016/j.cireng.2017.09.002
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Abdominal Pain in an Elderly Man Secondary to Giant Sigmoid Diverticula
Dolor abdominal en el anciano secundario a divertículo sigmoideo gigante
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Rocío Ruiz Guardiola
Corresponding author
rruizguardiola@gmail.com

Corresponding author.
, Juana Luisa Huertas Riquelme, Julio Sánchez Corral, Beatriz Garrido Benito
Servicio de Cirugía General y del Aparato Digestivo, Hospital Marina Baixa, Villajoyosa, Alicante, Spain
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The patient is a 93-year-old man with symptoms of diffuse abdominal pain, liquid diarrhea and vomiting over the previous 2 weeks. On examination, the patient presented a soft abdomen, with mild discomfort in the hypogastrium. Blood work revealed leukocyte levels of 15000/μl and PCR 6mg/dl. CT scan showed a large sigmoid diverticulum measuring 9.5×5.6cm in the lower pelvis, with an air-fluid level, fecaloid content and inflammatory involvement of the adjacent fat, suggestive of acute diverticulitis (Figs. 1 and 2). The patient was hospitalized for medical treatment with intravenous antibiotics, with a favorable progress, so the patient was discharged seven days later.

Fig. 1
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Fig. 2
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Please cite this article as: Ruiz Guardiola R, Huertas Riquelme JL, Sánchez Corral J, Garrido Benito B. Dolor abdominal en el anciano secundario a divertículo sigmoideo gigante. Cir Esp. 2017;95:405.

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