case_images: PMC4736197_01
case_images: Image of left lumbar abscess drainage due to perforated diverticulitis.
case_images: CRIGM2015-414905.001.jpg
case_images: PMC4736197_01_CRIGM2015-414905.001.jpg
case_images: fig1
case_images: Therefore, it was incised, but almost two liters of pus-like fluid was drained (Figure 1).
case_images: Abdominal X-ray showing inflammation at the left lumbar area.
case_images: CRIGM2015-414905.002.jpg
case_images: PMC4736197_01_CRIGM2015-414905.002.jpg
case_images: fig2
case_images: Prior to our examination, the patient was referred to the Internal Medicine Emergency Department, where he was scheduled to have a blood test and an X-ray examination of the abdomen (Figure 2).
case_images: Abdominal CT scans revealed a perforated diverticulitis of the sigmoid colon causing subcutaneous inflammation and free gas in the tissue of the posterior abdominal wall and lumbar area.
case_images: CRIGM2015-414905.003.jpg
case_images: PMC4736197_01_CRIGM2015-414905.003.jpg
case_images: fig3
case_images: The CT revealed the presence of free air in the lumbar wall, in the abscess area (but not in the abdomen), as well as signs of inflammation (Figures 3(a) and 3(b)).
case_images: Intraoperative image of the loft colon perforation.
case_images: CRIGM2015-414905.004.jpg
case_images: PMC4736197_01_CRIGM2015-414905.004.jpg
case_images: fig4
case_images: The inflamed segment of the colon was excised at healthy margins and an end-to-end anastomosis was performed (Figures 4, 5(a), and 5(b)).
case_images: Postoperative excised left colon specimen.
case_images: CRIGM2015-414905.005.jpg
case_images: PMC4736197_01_CRIGM2015-414905.005.jpg
case_images: fig5
case_images: The inflamed segment of the colon was excised at healthy margins and an end-to-end anastomosis was performed (Figures 4, 5(a), and 5(b)).