A Case of Obstructive Colitis Caused by Sigmoid Colon Stenosis due to Chronic Diverticulitis

Puntos clave

• To identify and report a case of obstructive colitis caused by sigmoid colon stenosis due to chronic diverticulitis.
• Case report of a 61-year-old male patient with a history of head trauma and subsequent hospitalization.
• Assessment through blood tests indicated elevated inflammatory markers and metabolic acidosis.
• CT imaging revealed multiple diverticula and wall thickening in the sigmoid colon, with proximal dilation observed.
• Lower gastrointestinal endoscopy was performed for decompression, leading to diagnosis of obstructive colitis.
• Emergency surgery was performed to alleviate obstruction, confirming the diagnosis of obstructive colitis due to diverticulitis.
• During surgery, there was notable thickening and shortening of the distal sigmoid colon.
• Initial left hemicolectomy was performed, followed by right hemicolectomy and partial ilectomy due to ulceration at the resection margin.
• A stoma was created as part of the surgical intervention, addressing the complications of the disease.