PMC4736197_01
Image of left lumbar abscess drainage due to perforated diverticulitis.
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Therefore, it was incised, but almost two liters of pus-like fluid was drained (Figure 1).
Abdominal X-ray showing inflammation at the left lumbar area.
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Prior to our examination, the patient was referred to the Internal Medicine Emergency Department, where he was scheduled to have a blood test and an X-ray examination of the abdomen (Figure 2).
Abdominal CT scans revealed a perforated diverticulitis of the sigmoid colon causing subcutaneous inflammation and free gas in the tissue of the posterior abdominal wall and lumbar area.
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The CT revealed the presence of free air in the lumbar wall, in the abscess area (but not in the abdomen), as well as signs of inflammation (Figures 3(a) and 3(b)).
Intraoperative image of the loft colon perforation.
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The inflamed segment of the colon was excised at healthy margins and an end-to-end anastomosis was performed (Figures 4, 5(a), and 5(b)).
Postoperative excised left colon specimen.
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The inflamed segment of the colon was excised at healthy margins and an end-to-end anastomosis was performed (Figures 4, 5(a), and 5(b)).