TITLE

Synchronous Diverticular Perforation: Report of a Case

AUTHOR(S)
Krajewski, Eduardo; Szomstein, Samuel; Weiss, Eric G.
PUB. DATE
June 2005
SOURCE
American Surgeon;Jun2005, Vol. 71 Issue 6, p528
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Synchronous colonic events are rare. Diverticulitis is the most common and lethal cause of colonic perforation. The first case in the literature of a synchronous diverticular perforation is presented. The patient was admitted with peritonitis. An exploratory laparotomy showed cecal and sigmoid perforations. Resection and primary anastomosis with a protective loop ileostomy was performed. Microscopic evaluation confirmed the presence of cecal and sigmoid perforated diverticuli. Diverticular disease is present in up to two-thirds of patients 80 years of age and older. Right-sided free colonic perforation is rare. Resection and primary anastomosis is feasible in the treatment of perforated diverticular disease. In this report, we emphasize the importance of a thorough abdominal exploration at the time of surgery.
ACCESSION #
17342571

 

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