A Case of Diverticular Colitis of the Sigmoid Colon Resistant to Internal Therapy and Causing Obstructive Colitis

Key Points

• To discuss a case of diverticular colitis that was resistant to internal therapy and resulted in obstructive colitis.
• Patient experienced rectal bleeding diagnosed as diverticular colitis.
• Treated with prednisone but developed difficulty in mobility leading to emergency transport.
• Emergency laparotomy performed after exacerbation upon decreasing prednisone.
• Surgical intervention included left hemicolectomy and creation of a stoma.
• Strengthened diagnosis of obstructive colitis due to diverticular disease with multiple diverticula and ulcers noted post-surgery.
• No recurrence of rectal bleeding postoperatively during follow-up.