Abstract
A 24-year-old male with a chief complaint of left lower abdominal pain was referred and admitted to Koto General Hospital. Physical examination revealed tenderness and Blumberg's sign in the left lower abdomen. Laboratory findings showed leukocytosis (11, 600/mm3) and positive CRP indicating mild inflammation. Barium enema on the 3rd hospital day revealed diverticulum in the lower descending colon and an extrinsic compression with speculations of the bowel wall around the diverticulum. The contour of the diverticulum was irregular and the descending colon showed spasticity and distorted haustration. Colonoscopy identified the orifice of the diverticulum and the mucosa of the orifice was normal, but an extrinsic compression, redness, and edema were observed in the surrounding area of the diverticulum. Antibiotics (CEZ, CMZ, OFLX) were given and the symptoms and clinical findings improved rapidly. Colonoscopy on the 16th hospital day was unremarkable and barium enema on the 20th hospital day was normal except for the diverticulum, which contour was smooth. He was discharged on the 24th hospital day. Cases of left sided diverticulitis in the young in Japan were reviewed.
