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Chirurgia 2021 June;34(3):131-4

DOI: 10.23736/S0394-9508.20.05150-5

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Two cases of atypical diverticular abscesses from sigmoid colon resulting from COVID-19 crisis-induced management delay

Kausik RAY , Christie SWAMINATHAN

Department of Digestive Diseases, Royal Sussex County Hospital, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK



As the world is facing the biggest crisis of this century, sick patients become sicker without timely intervention. Abscess arising from Sigmoid diverticulitis can have increased morbidity and mortality if not treated urgently. Timely intervention supported by care in the Intensive Therapy Unit (ITU) reduces both mortality and morbidity significantly in an advanced situation. Two cases with Diverticular abscess are discussed in this article who had uncommon presentation resulting from undue delay related to COVID-19 crisis-induced lockdown. Their surgical intervention got delayed due to multifactorial crises including ITU bed-shortage resulting in increased mortality and morbidity. The multifactorial influences of lockdown on the unwanted delay in referral, aggravated presentation, and the complicated outcome of a common emergency condition demand more awareness for reducing risk.


KEY WORDS: COVID 19; Colonic diverticulitis; Pelvic pain

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