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Colonic Diverticulitis After Endoscopic Band Ligation Performed for Colonic Diverticular Hemorrhage.

Ishii N, Fujita Y - ACG Case Rep J (2015)

Bottom Line: Computed tomography (CT) demonstrated dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation, consistent with uncomplicated diverticulitis.The patient was discharged with intravenous antibiotic therapy 5 days after EBL.Attention should be given to the occurrence of colonic diverticulitis after EBL for colonic diverticular hemorrhage.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, St. Luke's International Hospital, Tokyo, Japan.

ABSTRACT
A 72-year-old woman presented with massive hematochezia. Colonoscopy revealed active bleeding from a diverticulum in the ascending colon, diagnosed as colonic diverticular hemorrhage. Endoscopic band ligation (EBL) was performed for the hemostasis. The patient developed abdominal pain in the right lower quadrant 1 day after EBL. Computed tomography (CT) demonstrated dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation, consistent with uncomplicated diverticulitis. The patient was discharged with intravenous antibiotic therapy 5 days after EBL. Attention should be given to the occurrence of colonic diverticulitis after EBL for colonic diverticular hemorrhage.

No MeSH data available.


Related in: MedlinePlus

CT revealed dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation. The marking hemoclip can be observed in the ascending colon.
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Figure 3: CT revealed dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation. The marking hemoclip can be observed in the ascending colon.

Mentions: The next day, she developed right lower quadrant abdominal pain and her body temperature increased to 38.1°C. Her white blood cell count was 7,400/μL and C-reactive protein level was 0.64 mg/dL. Abdominal CT showed dirty fat around the ascending colon and thickened peritoneum with no perforation nor abscess formation (Figure 3), consistent with uncomplicated diverticulitis arising from EBL. Conservative therapy with intravenous antibiotic (cefmetazole sodium 1 g every 8 h) was started. The patient was discharged 5 days after EBL; no other complications or re-bleeding were observed during a 2-month follow-up period.


Colonic Diverticulitis After Endoscopic Band Ligation Performed for Colonic Diverticular Hemorrhage.

Ishii N, Fujita Y - ACG Case Rep J (2015)

CT revealed dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation. The marking hemoclip can be observed in the ascending colon.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508946&req=5

Figure 3: CT revealed dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation. The marking hemoclip can be observed in the ascending colon.
Mentions: The next day, she developed right lower quadrant abdominal pain and her body temperature increased to 38.1°C. Her white blood cell count was 7,400/μL and C-reactive protein level was 0.64 mg/dL. Abdominal CT showed dirty fat around the ascending colon and thickened peritoneum with no perforation nor abscess formation (Figure 3), consistent with uncomplicated diverticulitis arising from EBL. Conservative therapy with intravenous antibiotic (cefmetazole sodium 1 g every 8 h) was started. The patient was discharged 5 days after EBL; no other complications or re-bleeding were observed during a 2-month follow-up period.

Bottom Line: Computed tomography (CT) demonstrated dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation, consistent with uncomplicated diverticulitis.The patient was discharged with intravenous antibiotic therapy 5 days after EBL.Attention should be given to the occurrence of colonic diverticulitis after EBL for colonic diverticular hemorrhage.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, St. Luke's International Hospital, Tokyo, Japan.

ABSTRACT
A 72-year-old woman presented with massive hematochezia. Colonoscopy revealed active bleeding from a diverticulum in the ascending colon, diagnosed as colonic diverticular hemorrhage. Endoscopic band ligation (EBL) was performed for the hemostasis. The patient developed abdominal pain in the right lower quadrant 1 day after EBL. Computed tomography (CT) demonstrated dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation, consistent with uncomplicated diverticulitis. The patient was discharged with intravenous antibiotic therapy 5 days after EBL. Attention should be given to the occurrence of colonic diverticulitis after EBL for colonic diverticular hemorrhage.

No MeSH data available.


Related in: MedlinePlus