Gorgoraptis Stefanos, Xenaki Sofia, Athanasakis Elias, Daskalaki Anna, Lasithiotakis Konstantinos, Chrysou Evangelia, Chrysos Emmanuel
Department of General Surgery, University Hospital of Heraklion Crete, Greece.
Department of Radiology, University Hospital of Heraklion Crete, Greece.
Ann Med Surg (Lond). 2019 Nov 27;49:57-60. doi: 10.1016/j.amsu.2019.11.015. eCollection 2020 Jan.
Colonic diverticular disease is a common condition, affecting 50% of the population aged above 80. In contrast, rectal diverticular disease is a rare condition with very few cases reported, while symptomatic rectal diverticular disease is even rarer. We present a case of a symptomatic large rectal diverticulum presenting with a retrorectal abscess. A 49-year-old Caucasian female was brought to the emergency department complaining of abdominal pain and weakness in the lower limbs. She was found to have obstructive uropathy and unilateral sciatic neuropathy. She rapidly developed acute abdomen and emergency laparotomy revealed a giant purulent rectal diverticulum. The patient underwent exploratory laparotomy and a loop colostomy was made to decompress the colon.
结肠憩室病是一种常见病症，影响着50%的80岁以上人群。相比之下，直肠憩室病较为罕见，报道的病例很少，而有症状的直肠憩室病则更为罕见。我们报告一例有症状的巨大直肠憩室伴直肠后脓肿的病例。一名49岁的白种女性因腹痛和下肢无力被送往急诊科。她被发现患有梗阻性尿路病和单侧坐骨神经病变。她迅速发展为急腹症，急诊剖腹探查发现一个巨大的脓性直肠憩室。患者接受了剖腹探查，并进行了回肠造口术以减压结肠。
