DEEP VEIN THROMBOSIS – UNEXPECTED COMPLICATION OF RECCURENT DIVERTICULITIS

Daniel Ion; Răzvan Vasile Stoian; Claudia Nistor; Livia Florentina Trașcă; Alexandra Bolocan; Octavian Andronic; Florentina Mușat; Cosmin Alexandru Palcău; Dan Nicolae Păduraru

Daniel Ion IIIrd Department of General Surgery, Bucharest University Emergency Hospital, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Răzvan Vasile Stoian IIIrd Department of General Surgery, Bucharest University Emergency Hospital, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Claudia Nistor “Elias” University Emergency Hospital, Bucharest, Romania
Livia Florentina Trașcă “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania & “Elias” University Emergency Hospital, Bucharest, Romania
Alexandra Bolocan IIIrd Department of General Surgery, Bucharest University Emergency Hospital, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Octavian Andronic IIIrd Department of General Surgery, Bucharest University Emergency Hospital, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Florentina Mușat IIIrd Department of General Surgery, Bucharest University Emergency Hospital, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Cosmin Alexandru Palcău IIIrd Department of General Surgery, Bucharest University Emergency Hospital, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Dan Nicolae Păduraru IIIrd Department of General Surgery, Bucharest University Emergency Hospital, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

Keywords: iliofemoral deep vein thrombosis, sigmoid diverticulitis, complications, recurrent diverticulitis

Abstract

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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