Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 18: Not Your Average Case Of Diverticulitis (continued)

Geoffrey Nguyen, MD, PhD

A 61-year-old man was admitted to the hospital with nausea, loss of appetite, and severe abdominal pain. He described his pain as sudden and severe in onset, occurring mostly in the left lower quadrant. It was sharp and constant in nature and it worsened with any form of movement. He reported the absence of flatus or bowel movements for 48 hours prior to presentation. One month prior, he developed a similar onset of periumbilical abdominal pain that was ultimately diagnosed as a small bowel microperforation and treated conservatively with bowel rest and antibiotics. Although he had lost 25…