title: A diverticular 'pain in the bottom'.
abstract: This is the case of a 40-year-old man with a gluteal abscess as the first presentation of diverticular disease. As well as the unusual site, imaging revealed the lack of a connective tract between the abscess and the abdominal cavity or retroperitoneum. In addition, a lack of gastrointestinal symptoms made this case very unusual. Hence, this highlights the need for a high index of clinical suspicion when the usual clinical pointers that guide to the diagnosis of diverticulitis are absent.
authors.affiliation: Department of Colorectal Surgery, John Radcliffe Hospital, Oxford, UK.
authors.forename: Suchi K
authors.initials: SK
authors.lastname: Bardhan
authors.forename: Emma
authors.initials: E
authors.lastname: Morgan
authors.forename: Ian R
authors.initials: IR
authors.lastname: Daniels
authors.forename: Neil J
authors.initials: NJ
authors.lastname: Mortensen
mesh_terms: D018784:Abdominal Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D000038:Abscess / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002081:Buttocks; D012809:Colon, Sigmoid; D004239:Diverticulitis, Colonic / Q000150:complications* / Q000000981:diagnostic imaging; D004322:Drainage / Q000379:methods; D006801:Humans; D017116:Low Back Pain / Q000209:etiology*; D008297:Male; D035583:Rare Diseases; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents