A case study on perforated sigmoid diverticulitis

Introduction: Sigmoid colon diverticulitis, a common form of diverticular disease, is the inflammation or infection of pouches (diverticula) in the sigmoid colon.Diverticulitis is more common in older adults, with the prevalence increasing with age. Case presentation: A 59-year-old male presented with history of fever, abdominal pain left iliac region and constipation was evaluated. CECT abdomen showed circumferential wall thickening involving sigmoid colon with extensive pericolic fat stranding at inflamed segment of sigmoid colon and pneumoperitoneum, suggestive of perforation. Hence, Hartmann’s procedure was performed. His postoperative period was uneventful; he made a steady recovery. Discussion:The surgical management of sigmoid colon diverticulitis with perforation is a complex and challenging procedure that requires careful consideration and planning. In this case, the patient underwent a Hartmann's procedure, which involved resecting the diseased segment of the colon and creating a colostomy. Conclusion: Sigmoid colon diverticulitis is a serious condition that requires prompt medical attention. The Hartmann's procedure is a viable surgical option for managing complications of this condition, including perforation. This case study demonstrates the successful management of a patient with sigmoid colon diverticulitis and perforation using Hartmann’s procedure.