DEEP VEIN THROMBOSIS – UNEXPECTED COMPLICATION OF RECCURENT DIVERTICULITIS
Diverticular disease of the colon is an important cause of hospitalization. Most patients can be treated with pharmacological therapy but others require surgical management because of the complications that occur. The main complications of colon diverticulitis are: perforation, fistulae, colonic stenosis, hemorrhage, phlebitis or septic intrabdominal thrombophlebitis. Deep vein thrombosis is a rare complication of diverticulitis, especially with sigmoid localization. To our knowledge, there are a few cases cited of deep vein thrombosis secondary to external compression, but none with severe inflammation as the only local favoring factor. We present the case of a 68 years-old woman with known history of multiple episodes of conservatively treated acute sigmoid diverticulitis admitted with swelling, pain, functional impotence of the lower left limb and only mildly abdominal symptoms. After ultrasound doppler echography and CT scan the patient was diagnosed with acute diverticulitis, complicated with iliofemoral vein thrombosis, diagnostic that changed our perspective in the management of the case.
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