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Ann Thorac Surg 2006;82:717-719
© 2006 The Society of Thoracic Surgeons

Case report

Perforated Diverticulum: Rare Complication of Interposed Substernal Colon

Yu-Jen Cheng, MD*, Hsien-Pin Li, MD, Eing-Long Kao, MD

Division of Thoracic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Accepted for publication October 6, 2005.

* Address correspondence to Dr Cheng, Division of Thoracic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Rd, Kaohsiung, 80708 Taiwan (Email: yujen.cheng{at}msa.hinet.net).

Substernal colon interposition is a good reconstruction option after salvage surgery for caustic ingestion injury. Although redundancy and reflux sometimes complicate these cases, there have been no reports in the English literature of perforated diverticula in interposed colon segments. We report a 23-year-old man who underwent substernal colon flap reconstruction after caustic ingestion injury. He had perforated colon diverticulitis develop, which led to a lung abscess 7 years later, followed by resection of the necrotic lung parenchyma and colon repair. This rare case illuminates the importance of including perforated diverticula in interposed colon in the differential diagnosis for such patients.




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[Abstract] [Full Text] [PDF]


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