DIVERTICULAR DISEASE OF THE SIGMOID COLON COMPLICATED BY DIVERTICULITIS, PARACOLIC ABSCESS, PSOAS-ABSCESSWITH PATHOLOGICAL EXUDATE FLOWING THROUGH THE LEFT INGUINAL CANAL INTO THE SCROTUM

Abstract

Objective: to analyze the clinical observation of a patient with a diagnosis of diverticular colon disease complicated by diverticulitis, paracolic abscess, psoas abscess with pathological exudate flowing through the left inguinal canal into the scrotum.Material and methods. A retrospective analysis of clinical observation of a patient treated in coloproctology department of theRepublican Clinical Hospital 1 in the city of Izhevsk was carried out.Results.Patient R., 67 years old, underwent following surgeries: revision of the scrotum and inguinal region on the left side; lower median laparotomy - an abscess in the right iliac region was opened; resection of middle third of sigmoid colon by Hartmann operation; opening and drainage of scrotum phlegmon and revision of the left inguinal canal. The patient's condition remained ofmoderate severity. A second CT scan was performed and it was found that the abscess of the left iliolumbar muscle is preserved. Asecond revision of the inguinal canal was performed. After 3 months, the patient underwent reconstructive surgery.Conclusion. A possible complication of diverticular disease of the colon that occurs as a result of translocation of microbes from a purulent focus, may be the formation of a psoas abscess with the spread of pus along the interfascial spaces of the pelvis into the inguinal canal and scrotum.