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World J Gastrointest Surg. May 27, 2011; 3(5): 70-72
Published online May 27, 2011. doi: 10.4240/wjgs.v3.i5.70
Published online May 27, 2011. doi: 10.4240/wjgs.v3.i5.70
Diverticulitis presenting as a tubo-ovarian abscess with subsequent colon perforation
Yasmin Metz, Jerry Nagler, Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY 10021, United States
Author contributions: Metz Y, Nagler J contributed equally to this work and wrote the paper.
Correspondence to: Jerry Nagler, MD, Division of Gastroenterology and Hepatology, New York-Presbyterian, Weill Cornell Medical Center, 407 East 70th Street, New York, NY 10021, United States. jen2001@med.cornell.edu
Telephone: +001-212-628-7777 Fax: +001-212-517-6625
Received: September 10, 2010
Revised: March 15, 2011
Accepted: March 22, 2011
Published online: May 27, 2011
Revised: March 15, 2011
Accepted: March 22, 2011
Published online: May 27, 2011
Abstract
Described here is an unusual complication of a common condition; diverticulitis resulting in a tubo-ovarian abscess. The etiology of this abscess was clinically unapparent due to atypical presenting symptoms and signs. Furthermore, radiological diagnosis was misleading because of an inflammatory reaction of the colon which prevented visualization of diverticula. Failure to correctly identify the underlying pathology early in the patient’s course of treatment led to a perforation of the colon.
Keywords: Diverticulitis; Tubo-ovarian abscess; Colon perforation