ArticleAnnals of the Royal College of Surgeons of England2018
Diverticulitis of the transverse colon manifesting as colocutaneous fistula.
Article in Annals of the Royal College of Surgeons of England, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Unusual Variations and Atypical Presentations of Diverticulitis.Clinics in colon and rectal surgery · 2025Review
- Complicated Diverticulitis: A Rare Long-Term Complication After Esophagectomy With Colon Interposition.ACG case reports journal · 2025Article
- Fistulating diverticulitis: a distinct clinical entity?Frontiers in medicine · 2025Review
- Transverse colon diverticulitis mimicking acute appendicitis.BMJ case reports · 2024Article
- Acute Transverse Colon Diverticulitis: A Case Report and Literature Review.Journal of community hospital internal medicine perspectives · 2024Article
- Jejunocolic fistula presenting as chronic diarrhoea from advanced lymphoma.BMJ case reports · 2022Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The transverse colon is a particularly rare site for a diverticulum to develop, with only few reports of solitary diverticula described in the literature. Among the reported complications, colocutaneous fistulas appear relatively infrequently. We describe the case of an 80-year-old woman with a solitary diverticulum of the transverse colon presenting as acute diverticulitis with abscess formation in the epigastric region. A fistulous tract was found between the inflamed colon and the skin. A wedge resection of the inflamed colon together with the fistula and the solitary diverticulum was performed followed by primary suturing of the healthy colonic tissue. Despite the sufficient treatment and thorough clearance of the area, the patient died ten days later from ventilator associated pneumonia. Although rare, in patients presenting with a subcutaneous abscess in the abdominal region, there should be a high level of suspicion for active intraperitoneal inflammation derived from complicated diverticular disease given the continuously elevated prevalence of the condition in Western societies. The decision regarding proper management of this clinical state should be based on thorough clinical examination and imaging.
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