We report the case of a man in his 40s who presented to our emergency department with a history of fever and a red, swollen and painful neck mass. Shortly following his birth, a congenital oesophageal atresia had been managed surgically with colonic interposition graft. Contrast CT of the neck revealed filling and distention of a colic stump with content of stasis and infection. The patient received intravenous piperacillin/tazobactam and parenteral nutrition. One week later, an upper digestive endoscopy was performed revealing an inflammatory-looking pseudopolypoid area immediately below the anastomosis, at the level of the proximal portion of the colon, which seemed to correspond to a complicated diverticulum with inflammation. The difficulties in reaching a definitive diagnosis and management of this condition are discussed.
- Gastrointestinal surgery
- General surgery
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Contributors Each author has participated in the work represented by the article to take public responsibility for the content. Planning: ML and AL. Conceptualisation: ML, MD, AL and AB. Acquisition of data and reporting: ML and MD. Supervision: AL and AB. Writing: ML and MD. Review and editing: AL and AB.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.