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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

Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA.No affiliation info availableNo affiliation info available

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 -