Atypical Presentation of Diverticulitis in a Young Hispanic Male: A Case Report

Diverticulitis is a significant contributor to the number of hospital admissions and healthcare costs in Western societies. The authors present the case of an otherwise healthy 33-year-old Hispanic male presenting to the emergency department with complaints of abdominal pain, pneumaturia, and hemato...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 4; p. e37511
Main Authors Arfan, Sara, Nair, Ameya, Stear, Timothy
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 12.04.2023
Cureus
Subjects
Abdomen
Abscesses
Age groups
Antibiotics
Bladder
Blood
Body mass index
Case reports
Catheters
Colon
Diverticulitis
Emergency medical care
Emergency Medicine
Family medical history
General Surgery
Hispanic people
Inflammation
Internal Medicine
Laboratories
Leukocytes
Pain
Tomography
Urinalysis
Urine
United States > US
diverticulosis
complicated diverticulitis
colovesical fistula
cost burden
acute diverticulitis
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Summary:Diverticulitis is a significant contributor to the number of hospital admissions and healthcare costs in Western societies. The authors present the case of an otherwise healthy 33-year-old Hispanic male presenting to the emergency department with complaints of abdominal pain, pneumaturia, and hematochezia. The patient had no underlying risk factors, substantial prior medical history, or typical symptoms of diverticulitis. He was diagnosed with acute diverticulitis with a presumed colovesical fistula. The unique clinical presentation and the intraoperative findings are discussed. The objective of this case report is to make clinicians aware of atypical presentations of acute diverticulitis and guide the appropriate diagnostic workup for young Hispanic males presenting to the emergency departments with complaints of abdominal pain.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.37511