title: Complicated sigmoid diverticulitis.
abstract: In medical practice, the colonic diverticulitis diagnosis is easy, based especially on a barium enema and an inferior digestive endoscopy, but the diverticulitis complications, especially metastatic infections, raise serious positive and differential diagnosis problems. We present the case of a 51 year old male who comes with hepatomegaly and multiple hepatic formations, in deteriorating clinical condition, context suggestive of secondary metastasis, but after investigation it was demonstrated they were of infectious nature, from a sigmoidian diverticulitic abscess. In this case, the hepatic biopsy was appropriate and it represented an important moment in the management of the patient.
authors.affiliation: Hautepierre Hospital Strassbourg, France.
authors.forename: Carmen
authors.initials: C
authors.lastname: Suna
authors.forename: Fabienne
authors.initials: F
authors.lastname: Grünenberger
authors.forename: J L
authors.initials: JL
authors.lastname: Schlienger
authors.forename: Marie-Noelle
authors.initials: MN
authors.lastname: Roedlich
authors.forename: S
authors.initials: S
authors.lastname: Stanciu
authors.forename: S
authors.initials: S
authors.lastname: Blaj
mesh_terms: D004239:Diverticulitis, Colonic / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D008100:Liver Abscess / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy