Recurrent complicated colon diverticulitis in renal transplanted patient

Transplantation Proceedings
M UtechJ Brockmann

Abstract

Colon perforation due to diverticulitis is a life-threatening complication in the postoperative course of kidney transplantation. In the immunocompromised patient a diagnosis of diverticulitis is difficult to make. We report a 53-year-old woman being kidney transplanted 14 years ago with known diverticulosis. She was admitted with acute severe pain in the lower left abdomen. Abdominal computed tomography (CT) scan indicated a diagnosis of intestinal abscess in the small pelvis. Laparotomy showed a covered sigma perforation with abscess located in the small pelvis (Hinchey-I). Because of the immunocompromised situation of the patient we performed a Hartmann procedure. Her postoperative course was uneventful. In a 6-month interval the intestinal continuity restoration was performed. Twelve days after discharge the patient was readmitted with reduced renal function and increased infection parameters. During physical examination the abdomen was tender. The patient complained of abdominal pain in the left upper abdomen and additional pain in the left shoulder. An antibiotic therapy using ciprofloxacin was already initiated owing to a urinary tract infection. An abdominal CT scan was performed and indicated an intestinal abscess in t...Continue Reading

References

Feb 1, 1985·Diseases of the Colon and Rectum·D M NagorneyJ H Pemberton
Apr 1, 1997·The British Journal of Surgery·T B ElliottT T Irvin
May 21, 1998·Diseases of the Colon and Rectum·E D LedermanE C Lee
Jun 10, 2005·ANZ Journal of Surgery·Dee Wern SeahKhoon Hean Tay

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Citations

Sep 23, 2014·Transplantation Proceedings·A ScottiA Renda

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