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A 69-year-old man presented to the emergency department with a 3-day history of left-sided lower abdominal and groin pain. The pain had begun 36 hours after the patient had undergone colonoscopy, at which time he was found to have extensive diverticular disease. He had undergone polypectomy of a moderately dysplastic tubular adenoma of the sigmoid colon. On measurement of vital signs, he had tachycardia (pulse rate, 110) and hypotension (blood pressure, 95/70 mm Hg) and was febrile (temperature, 100.7°F [38.2°C]). Physical examination revealed erythema and swelling of the left inguinoscrotal region with associated tenderness on palpation. The remainder of his . . . [Full Text of this Article] |
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