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Case Reports
. 2009 Aug 4:2:7146.
doi: 10.4076/1757-1626-2-7146.

Left sided diverticulitis presenting as a right lumbar fistula: a case report

Barnabas Rigden Green  1 , Vickram Joypaul
Affiliations
Case Reports

Left sided diverticulitis presenting as a right lumbar fistula: a case report

Barnabas Rigden Green et al. Cases J. .

Abstract

The formation of fistulae is a recognised complication of diverticulitis. This case report describes sigmoid diverticulitis presenting as a right psoas abscess with a colocutaneous fistula. The report highlights the role of appropriate imaging and a high index of suspicion in anyone presenting with a discharging lumbar abscess, especially when the focus of infection may be from a contra-lateral source.

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Figures

Figure 1.
Figure 1.
Calcified right renal cyst (a), right psoas abscess (b).
Figure 2.
Figure 2.
Sigmoid diverticulosis (a), fistulous tract (arrow) to abscess (b).
See this image and copyright information in PMC

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