Perforatedsolitarymid-rectaldiverticulumdiagnosedwith colonoscopy:acasereportandliterature review
Journal
Journal of Surgical Case Reports
Date Issued
2026-01-27
Author(s)
Avramoski, Vladimir
Gjinoska, Klaudia
Kostovska, Irena
Stoicovski, Emil
Mitrev, Zan
DOI
10.1093/jscr/rjag016
Abstract
Rectal diverticulum is an exceedingly rare clinical entity, typically occurring as a solitary lesion or, less frequently, as up to three diverticula.
Its development is often associated with underlying conditions such as obstructive defecation syndrome, rectal malignancy, pelvic floor
weakness, chronic rectal impaction, obesity, or infection-related muscular atrophy. Although uncommon, rectal diverticulitis represents
a surgical emergency requiring timely recognition and management. In this case, a female patient presented with rectal bleeding and
secondary anemia. During the clinical course, the patient developed pelvic sepsis secondary to rectal diverticulitis. Appropriate surgical
intervention, combined with antimicrobial therapy and supportive management, led to a favorable outcome. Rectal diverticulitis is a rare
but potentially life-threatening condition. Awareness of this entity and early diagnosis are essential to prevent severe complications such
as perforation and pelvic sepsis. This case highlights the importance of considering rectal diverticulum in the differential diagnosis of lower
gastrointestinal bleeding and pelvic infections.
Its development is often associated with underlying conditions such as obstructive defecation syndrome, rectal malignancy, pelvic floor
weakness, chronic rectal impaction, obesity, or infection-related muscular atrophy. Although uncommon, rectal diverticulitis represents
a surgical emergency requiring timely recognition and management. In this case, a female patient presented with rectal bleeding and
secondary anemia. During the clinical course, the patient developed pelvic sepsis secondary to rectal diverticulitis. Appropriate surgical
intervention, combined with antimicrobial therapy and supportive management, led to a favorable outcome. Rectal diverticulitis is a rare
but potentially life-threatening condition. Awareness of this entity and early diagnosis are essential to prevent severe complications such
as perforation and pelvic sepsis. This case highlights the importance of considering rectal diverticulum in the differential diagnosis of lower
gastrointestinal bleeding and pelvic infections.
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