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Case 33 

Case 33
Chapter:
Case 33
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.33
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date: 20 August 2019

A 61-year-old British man living in Kazakhstan was well until he developed severe abdominal pain with a fever. A diagnosis of acute diverticulitis, perforation, and peritonitis was made. He underwent an emergency laparotomy, which confirmed a perforated sigmoid diverticulum. The sigmoid colon was resected and a loop ileostomy was formed. His postoperative recovery was good, but 3 weeks after discharge he presented with nausea, decreased appetite, and lethargy. He described emptying his ileostomy bag about 4 times/day, but was unsure of the volume.

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