Ascending colon stenosis caused by repeated diverticulitis that clinically mimicked advanced colon cancer

Ascending colon stenosis caused by repeated diverticulitis that clinically mimicked advanced colon cancer

4^th World Congress on SURGICAL PATHOLOGY AND ONCOLOGY RESEARCH
October 17, 2022 | Webinar

Kazuhiro Hiyama

Atago Hospital, Japan

Abstract:

Introduction: We experienced a rare case of right-sided large bowl obstruction (LBO) of the colon caused by chronic diverticulitis, which was challenging to diagnose. A young male was admitted to our department with a fever, diarrhea and right-sided lateral abdominal pain for several days. CT showed a thickened ascending colon wall with stenosis and adjacent retroperitoneal inflammation without marked diverticula. The next day, he developed severe abdominal pain and perforation was suspected. We chose the “interval definitive surgery”; at that time, intestinal decompression and laparoscopic drainage. Colonoscopy showed an edematous membrane, but no cancerous lesions or diverticula. Hemi-colectomy was performed after 10 days' nutritional therapy. No postoperative complication occurred. The histopathology showed that the pathogenesis was chronic diverticulitis. Discussion: There have been few reported cases of rightsided LBO caused by diverticulitis, but it is important to be aware that benign disease, such as chronic diverticulitis, can cause LBO. Initial conservative therapy and nutritional therapy produced a correct diagnosis and good outcomes.
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Biography:

Kazuhiro Hiyama is the director of surgery at atago hospital (Kochi, Japan). Hiyama gained the first degree in pharmaceutical sciences at the university of Tokyo. He gained the second degree in medicine at university of Tsukuba (as a principal). He finished the surgical residency and fellowship at the tsukuba university hospital.

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