J Korean Geriatr Soc.  2014 Mar;18(1):24-29. 10.4235/jkgs.2014.18.1.24.

Colonic Diverticulitis Complicating Colo-ovarian Fistula and Tuboovarian Abscess Formation in on Old Woman

• Jeon JH
• Jeong DI
• Kwon TH
• Kim HS
• Lee DS
• Lee SH
• Lee YK

• KMID: 1958596
• DOI: http://doi.org/10.4235/jkgs.2014.18.1.24

Abstract

The inflammation of colonic diverticulum, diverticulitis, is occasionally accompanied by several complications, such as bleeding, bowel obstruction, fistula and abscess formation. Both colo-ovarian fistula and tuboovarian abscess formation, as complications of diverticulitis, are rare. Here, we report a case of colonic diverticulitis which ultimately resulted in colo-ovarian fistula and tuboovarian abscess formation. A 76-year-old female was presented with lower abdominal pain, diarrhea and intermittent hematochezia for about 1 month. According to the abdominal computed tomography, tuboovarian abscess was shown to adhere to the inflamed sigmoid diverticulum. Sigmoidoscopy revealed pus flowing from the opening of the diverticulum at the sigmoid colon. Hence, the patient underwent oophorosalpingectomy and low anterior resection. Thereafter, she was treated with bowel rest and broad spectrum antibiotics, and finally recovered. Although rare, colonic diverticulitis may result in colo-ovarian fistula causing tuboovarian abscess formation in postmenopausal patients. Early recognition of the condition and appropriate treatment, including surgery and antibiotics, are necessary in order to achieve full recovery from complicated diverticulitis.

Keyword

Colonic diverticulitis; Complication; Colo-ovarian fistula; Tuboovarian abscess

MeSH Terms

Abdominal Pain
Abscess*
Aged
Anti-Bacterial Agents
Colon*
Colon, Sigmoid
Diarrhea
Diverticulitis
Diverticulitis, Colonic*
Diverticulum
Diverticulum, Colon
Female
Fistula*
Gastrointestinal Hemorrhage
Hemorrhage
Humans
Inflammation
Sigmoidoscopy
Suppuration
Anti-Bacterial Agents