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Diverticulitis complicated by a pelvic abscess was treated by percutaneous drainage followed by elective single-stage sigmoidectomy. Restoration of intestinal continuity was done by end-of-colon to side-of-rectum stapled anastomosis. An omental pedicle flap was placed between the colorectal anastomosis and the vaginal cuff to prevent colovaginal fistula. Intraoperative colonoscopy cleared the colon of proximal neoplasms.

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Diverticulitis Complicated by Abscess: Drainage, Resection, and Primary Anastomosis

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  • 发表日期：

    2025年

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  • Jesus Flores,
  • James S. Wu

摘要

Diverticulitis complicated by a pelvic abscess was treated by percutaneous drainage followed by elective single-stage sigmoidectomy. Restoration of intestinal continuity was done by end-of-colon to side-of-rectum stapled anastomosis. An omental pedicle flap was placed between the colorectal anastomosis and the vaginal cuff to prevent colovaginal fistula. Intraoperative colonoscopy cleared the colon of proximal neoplasms.