Sigmoid stricture secondary to repeated episodes of complicated diverticulitis has an incidence of 0.09%. Our patient is a 36-year-old Caucasian male who presented with a significant history of worsening abdominal pain for over 11 years. He was repeatedly treated with a non-operative approach that consisted of antibiotics during multiple hospital admissions. A sigmoidoscopy was attempted by his gastroenterologist, but the scope was unable to pass the sigmoid, increasing the concern for stricture and potential large bowel obstruction. After a complete course of antibiotics, he was referred to our surgical team. Confirmation with an abdominal computed tomography (CT) scan showed that the inflammatory mucosa had subsided. A colonoscopy was then conducted by the surgical team and biopsies were obtained. A one-stage laparoscopic sigmoid resection with colorectal anastomosis was performed.

Keywords: Diverticulitis; Diverticulosis; Sigmoid stricture; Case report