Perforated sigmoid diverticulitis masquerading as multiple intra and extra abdominal disseminated abscesses

Abscess formation in perforated diverticulitis is most commonly confined to the pelvis, with other intraperitoneal and extraperitoneal locations rarer literature. Presented here case of a 63-year-old male who was diagnosed which manifested multiple intra- extra-abdominal abscesses. These were identified on abdominopelvic computed tomography include presacral abscess, bilateral psoas abscesses, large left flank abscess located between internal external oblique muscles, as well osteomyelitis S1 vertebra. To best authors’ knowledge, this first reported literature disseminated constellation abscesses secondary acute diverticulitis.