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Synchronous diverticular perforation: report of a case.
Am Surg. 2005 Jun; 71(6):528-31.AS

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.

Authors+Show Affiliations

Krajewski E
Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA.
Szomstein S
No affiliation info available
Weiss EG
No affiliation info available

MeSH

Anastomosis, SurgicalCecal DiseasesColectomyDiverticulitis, ColonicFollow-Up StudiesHumansIntestinal PerforationLaparotomyMaleMiddle AgedRisk AssessmentSeverity of Illness IndexSigmoid DiseasesTomography, X-Ray ComputedTreatment Outcome

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

16044938

Citation

Krajewski, Eduardo, et al. "Synchronous Diverticular Perforation: Report of a Case." The American Surgeon, vol. 71, no. 6, 2005, pp. 528-31.
Krajewski E, Szomstein S, Weiss EG. Synchronous diverticular perforation: report of a case. Am Surg. 2005;71(6):528-31.
Krajewski, E., Szomstein, S., & Weiss, E. G. (2005). Synchronous diverticular perforation: report of a case. The American Surgeon, 71(6), 528-31.
Krajewski E, Szomstein S, Weiss EG. Synchronous Diverticular Perforation: Report of a Case. Am Surg. 2005;71(6):528-31. PubMed PMID: 16044938.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Synchronous diverticular perforation: report of a case. AU - Krajewski,Eduardo, AU - Szomstein,Samuel, AU - Weiss,Eric G, PY - 2005/7/28/pubmed PY - 2005/8/12/medline PY - 2005/7/28/entrez SP - 528 EP - 31 JF - The American surgeon JO - Am Surg VL - 71 IS - 6 N2 - 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. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/16044938/Synchronous_diverticular_perforation:_report_of_a_case_ DB - PRIME DP - Unbound Medicine ER -