A 53-year-old male presented with severe pain in the left iliac fossa without other associated symptoms.
Fever was present.
He did not refer habitual home treatment or personal or family history of interest.
Physical examination revealed a slight overweight and painful fixation at the level of the left iliac fossa, along with abdominal defense.
The intestinal sounds and the rest of the examination were normal.
The general laboratory test showed a GGT of 88 U/l, ferritin of 297.11 ng/ml and CRP of 7 mg/dl. The other parameters were normal.
The clinical manifestations were acute diverticula.
Persistence and pain intensity, as well as to confirm the suspicion, an abdominal CT was performed, which showed the existence of sigmoid colonosis without signs of diverticulum.
An inflammation of the fat adjacent to the descending colon was observed in an upper abdominal section, which corresponded to an epiploic appendix, probably in the context of acute colitis secondary to to torsion.
1.
The patient was diagnosed with sickle cell disease or sickle cell disease and received conservative treatment with antiarrhythmic drugs and progressive oral complications for 7 days.
The use of antibiotics and hospitalization were not necessary.
