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2.
Gac. méd. boliv ; 43(2): 219-222, dic. 2020. ilus
Article in Spanish | LILACS | ID: biblio-1249987

ABSTRACT

La hemorragia diverticular es la causa más frecuente de hemorragia digestiva baja. La hemorragia es abrupta, indolora, abundante. La mayoría de los divertículos que sangran se localizan en el lado derecho, este sangrado se autolimita hasta en un 80% de los casos. Cuando no se autolimita su manejo puede llegar a ser complejo. El manejo de estos sangrados, pueden variar desde conservador, endoscópico, arteriografía más embolización y el quirúrgico. Entre las alternativas de manejo endoscópico, tenemos la terapia de inyección, la térmica, hemoclips, ligadura con banda. El presente caso es de un paciente con hemorragia diverticular en el que se realizó terapia endoscopica combinada, infiltración de adrenalina, aplicación indirecta de hemoclips y aplicación tópica de ácido tranexámico que es un antifibrinolítico.


Diverticular bleeding is the most common cause of lower GI bleeding. The bleeding is most often abrupt, painless and abundant. Most of the bleeding diverticula are located on the right side of the colon, this bleeding is self-limited in up to 80% of cases. When it is not, it could turn into a difficult situation to manage. The management of these bleeds can vary from conservative to an endoscopic, arteriography plus embolization and surgical. Among the endoscopic management alternatives, we have injection therapy, thermal therapy, hemoclips, band ligation. The present case is about a patient with diverticular bleeding who underwent combined endoscopic therapy, adrenaline infiltration, indirect application of hemoclips, and topical application of tranexamic acid, which is an antifibrinolytic.


Subject(s)
Male , Aged , Diverticular Diseases , Hemorrhage , Diverticulum , Colon , Endoscopy , Ligation
3.
Medicina (B.Aires) ; 80(4): 391-391, ago. 2020. graf
Article in Spanish | LILACS | ID: biblio-1154834
4.
Rev. colomb. cardiol ; 27(2): 122-126, mar.-abr. 2020. graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1138765

ABSTRACT

Resumen El divertículo de Kommerell es una anomalía de muy baja incidencia y prevalencia en la edad pediátrica. Se reporta el caso de un paciente de 11 años de edad, con diagnóstico de divertículo de Kommerell con arco aórtico derecho y origen anómalo de arteria subclavia izquierda desde la rama pulmonar izquierda a través de conducto arterioso persistente. Dado que es una anomalía cardiovascular compleja se decidió realizar un modelo impreso en 3 D, el cual proporcionó una mejor comprensión de su distribución espacial, tamaño y forma real, como si fuera una pieza de anatomía patológica. Este modelo ayudó en la toma de decisiones, planificación y seguridad de la ejecución de una posible cirugía cardiaca. Este es el primer reporte de caso de este tipo de anomalía, así como el primer prototipo cardíaco impreso en modo tridimensional realizado en Perú para el tratamiento de la misma.


Abstract Kommerell's diverticulum is an anomaly of very low incidence and prevalence in paediatrics. A case is presented of an 11 year-old patient with a diagnosis of Kommerell's diverticulum with a right aortic arch and a left subclavian artery of anomalous origin from the pulmonary branch through a patent ductus arteriosus. Given that this was a complex cardiovascular anomaly, it was decided to make a print model in 3-D. This provided a better understanding of its spatial distribution, size, and real shape, as it was a histopathology piece. This model helped in taking planning and safety decisions on any possible cardiac surgery. This is the first report of a case of this type of anomaly, as well as the first prototype of a cardiac print in 3-dimensional mode, performed in Peru.


Subject(s)
Humans , Male , Child , Aortic Arch Syndromes , Cardiovascular Abnormalities , Printing, Three-Dimensional , Therapeutics , Prevalence , Diverticulum , Ductus Arteriosus, Patent
5.
Article in Korean | WPRIM | ID: wpr-787234

ABSTRACT

Intussusception is a medical condition, in which a proximal part of the intestine folds into the distal intestine. Adult intussusceptions are rare and account for approximately 5% of all cases of intussusceptions. The anatomical leading points include tumors, diverticulums, polyps, and strictures in 80-90% of adult intussusceptions, and 65% of colon intussusceptions and 30% of small bowel intussusceptions originate from malignant tumors. Treatments for adult intussusception have not been established, but most cases require surgical treatment. The gastrointestinal tract is the most common extranodal site for non-Hodgkin lymphoma. The symptoms are mostly non-specific, but they rarely lead to complications, such as bleeding, perforation, and intussusception. Furthermore, few cases of primary gastrointestinal lymphomas causing intussusception have been reported. This paper reports a case of small bowel diffuse large B cell lymphoma that caused ileocolic intussusception in a 69-year-old woman with no medical history. She underwent a small bowel resection and received six cycles of adjuvant chemotherapy with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone. Since then, she has been in complete remission.


Subject(s)
Adult , Aged , Chemotherapy, Adjuvant , Colon , Constriction, Pathologic , Cyclophosphamide , Diverticulum , Doxorubicin , Female , Gastrointestinal Tract , Hemorrhage , Humans , Intestines , Intussusception , Lymphoma , Lymphoma, B-Cell , Lymphoma, Non-Hodgkin , Polyps , Prednisone , Rituximab , Vincristine
6.
Article in English | WPRIM | ID: wpr-785549

ABSTRACT

Bladder diverticulum can be caused by many varying factors. It is usually asymptomatic in nature and thus often found by chance. In adult males, it can develop as a result of increased intravesicular pressure in the presence of an underlying benign prostatic hyperplasia. We observed a case in which a patient with asymptomatic bladder diverticulum developed new urinary symptoms owing to an underlying neurogenic lower urinary tract disorder which occurred following a cerebral infarction.


Subject(s)
Adult , Cerebral Infarction , Diverticulum , Humans , Male , Prostatic Hyperplasia , Stroke , Urinary Bladder , Urinary Bladder, Neurogenic , Urinary Tract
7.
Rev. Hosp. El Cruce ; (27): 43-50, 2020.
Article in Spanish | LILACS | ID: biblio-1282918

ABSTRACT

Se describe un caso clínico en el que se aplica una técnica hibrida para el tratamiento del Divertículo de Kommerell complicado por ser una estrategia segura para nuestra paciente. La decisión debe basarse en el conocimiento de la anatomía compleja, el inicio y extensión de la disección como el estado clínico del paciente.


A clinical case is described in which a hybrid technique is applied for the treatment of Kommerell's Diverticulum, complicated by being a safe strategy for our patient. The decision should be based on knowledge of the complex anatomy, the initiation and extent of the dissection as well as the clinical status of the patient.


Subject(s)
Diverticulum , Case Reports
8.
Int. braz. j. urol ; 45(6): 1216-1226, Nov.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1056333

ABSTRACT

ABSTRACT Introduction and Objective: Several studies have focused on the treatment and recurrence of urethral diverticulum (UD). However, few investigations have addressed sexual function in patients with UD. Therefore, we sought to examine sexual function in women affected by UD. Materials and Methods: There were 108 accepted cases involving transvaginal diverticulectomy at our institution. Ultimately, 83 women were included for further analysis, only 61 of these women had sexual partners. We collected data for the Female Sexual Function Index (FSFI) from the female patients and the Male Sexual Health Questionnaire (MSHQ) from their male partners before and after surgery. Results: Preoperatively, the UD size affected the female patient's arousal and lubrication (p=0.04), and the UD location affected their satisfaction. However, no significant between-group differences were found in the total FSFI score. For all women, sexual activity improved after surgery (p=0.0087). In addition to improvements in arousal for women with a large UD, improvements in lubrication were affected by the UD size, number and shape, increases in satisfaction scores were impacted by the UD location and shape, and pain relief was linked to the UD number and shape. Analysis of the MSHQ results revealed no between-group differences among the male partners. Conclusion: Only the UD size and location affected sexual function in women with a small UD. Surgery could improve female sexual function but did not affect the sexual function of the patient's partners.


Subject(s)
Humans , Male , Female , Adult , Postoperative Complications/etiology , Sexual Dysfunction, Physiological/etiology , Urethral Diseases/surgery , Diverticulum/surgery , Postoperative Complications/physiopathology , Reference Values , Sexual Dysfunction, Physiological/physiopathology , Urethral Diseases/physiopathology , Sexual Partners , Sex Factors , Surveys and Questionnaires , Retrospective Studies , Risk Factors , Patient Satisfaction , Diverticulum/physiopathology , Ejaculation/physiology , Middle Aged
11.
Rev. colomb. gastroenterol ; 34(2): 202-206, abr.-jun. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1013937

ABSTRACT

Resumen La enfermedad diverticular constituye la principal afección intestinal después de los 40 años; tiene gran relevancia por sus amplias manifestaciones, que llevan a consultas frecuentes en todos los servicios de urgencias y corresponden al hallazgo más usual en los procedimientos endoscópicos electivos. Por su parte, la diverticulosis del intestino delgado tiene una prevalencia que oscila entre 2 % y 5 %. Las presentaciones clínicas como sangrado, obstrucción, dolor abdominal, perforación, formación de abscesos y fístulas suelen ser más floridas cuando afectan el colon. Se presenta el caso de un paciente anciano quien consultó a urgencias con abdomen agudo secundario a peritonitis generalizada por perforación intestinal debida a enfermedad diverticular del yeyuno.


Abstract Diverticular disease is the most common bowel disease after the age of 40 years. It is the most common finding in elective endoscopic procedures, and it has great relevance because of its broad manifestations which lead to frequent emergency service consultations. On the other hand, the prevalence of diverticulosis of the small intestine ranges from 2% to 5%. Clinical presentations such as bleeding, obstructions, abdominal pain, perforations, formation of abscesses and fistulas are usually more florid when they affect the colon. We present the case of an elderly emergency room patient with acute abdomen secondary to generalized peritonitis due to intestinal perforation caused by diverticular disease of the jejunum.


Subject(s)
Humans , Male , Aged , Diverticular Diseases , Intestinal Perforation , Jejunum , Abdominal Pain , Diverticulum
12.
Autops. Case Rep ; 9(2): e2019102, Abr.-Jun. 2019. ilus
Article in English | LILACS | ID: biblio-1015113

ABSTRACT

Gallstone ileus is a rare (1%­4%) complication of gallstone disease. Gallstones entering the gastrointestinal tract by penetration may cause obstruction at any point along their course through the tract; however, they have a predilection to obstruct the smaller-caliber lumen of the small intestine (80.1%) or stomach (14.2%). The condition is seen more commonly in the elderly who often have significant co-morbidities. Gallstone ileus causing large bowel obstruction is rare. We report the case of a 95-year-old woman who presented with a history of abdominal pain without fever, nausea, vomiting, or diarrhea. Computed tomography of the abdomen and pelvis with oral contrast revealed a high-density structure within the lumen of the distal sigmoid colon, initially suspected to be a foreign body. Medical management failed and surgical intervention was not possible. Autopsy revealed peritonitis and a rupture of the sigmoid colon at the site of a cylindrical stone found impacted in an area of fibrotic narrowing with multiple diverticula. A necrotic, thick-walled gallbladder had an irregular stone in its lumen that was a fracture match with the stone in the sigmoid. Adhesions, but no discrete fistula, were identified between the gallbladder and the adjacent transverse colon. The immediate cause of death was peritonitis caused by colonic perforation by the gallstone impacted at an area of diverticular narrowing. To our knowledge, such autopsy findings have not been previously reported.


Subject(s)
Humans , Female , Aged, 80 and over , Colon, Sigmoid/injuries , Gallstones/pathology , Peritonitis/pathology , Autopsy , Diverticulum , Intestinal Perforation/complications
13.
Rev. colomb. cir ; 34(1): 69-74, 20190000. fig
Article in Spanish | LILACS | ID: biblio-982077

ABSTRACT

Introducción. El hallazgo de divertículos en el intestino delgado es poco usual, y se presentan principalmente en el yeyuno y en el íleon. Tienen una incidencia relativamente baja, aproximadamente, de 0,06 a 5 % en autopsias y de 0,5 a 2,3 % como hallazgos radiológicos. Predominan en la sexta y la séptima década de la vida y en el sexo masculino. Presentación de caso. Se trata de una paciente de sexo femenino de 90 años, que ingresó al servicio de urgencias por un cuadro clínico de un día de dolor en el hemiabdomen derecho irradiado al hipogastrio y asociado con múltiples episodios de emesis. Se hospitalizó para estudios paraclínicos y, durante la observación, presentó deterioro clínico, por lo que fue sometida a una laparotomía exploratoria, y se encontró un divertículo único de yeyuno. Discusión. Los divertículos de intestino delgado son poco frecuentes, y comprometen solo la mucosa y submucosa. Del total de casos, del 0,9 a 1 % corresponden a divertículos del yeyuno. Estos pueden asociarse con divertículos en otra parte del tubo digestivo, como esófago (2,3 %), duodeno (30 %) o colon (61 %). El manejo de esta enfermedad depende de cada paciente


Small intestine diverticulum is a rare finding; it presents more often in the jejunum and ileum. The incidence in autopsies is low (0.06-5%), and 0.5-2.3% as a radiology finding. It is most often found in the 7th decade and in men. A 90-year-old female patient presented with a clinical picture of one day consisting of acute right abdominal pain that radiates to the hypogastrium accompanied by multiple episodes of vomiting. The patient is admitted and a battery of tests are ordered; during observation the patient quickly deteriorates and is taken to an emergency laparotomy, finding a single jejunal diverticulum. Small intestine diverticuli are rare surgical findings (0.9-1%) that involve only the mucosa and submucosa. The majority of small intestinal diverticuli are found in the jejunum. These can be associated with diverticuli in other areas of the GI tract: stomach (2.3%), duodenum (30%) and colon (61%). The management approach depends on each patient's clinical presentation


Subject(s)
Humans , Jejunum , Diverticulum , Abdomen, Acute , Intestinal Obstruction
14.
Article in English | WPRIM | ID: wpr-719498

ABSTRACT

BACKGROUND: Menkes disease (MD) is a rare X-linked hereditary multisystemic disorder that is caused by dysfunction of copper metabolism. Patients with MD typically present with progressive neurodegeneration, some connective tissue abnormalities, and characteristic “kinky” hair. In addition, various types of urological complications are frequent in MD because of underlying connective tissue abnormalities. In this study, we studied the clinical features and outcomes of MD, focusing on urological complications. METHODS: A total of 14 unrelated Korean pediatric patients (13 boys and 1 girl) with MD were recruited, and their phenotypes and genotypes were analyzed by retrospective review of their medical records. RESULTS: All the patients had early-onset neurological deficit, including developmental delay, seizures, and hypotonia. The girl patient showed normal serum copper and ceruloplasmin levels as well as milder symptoms. Mutational analysis of the ATP7A gene revealed 11 different mutations in 12 patients. Bladder diverticula was the most frequent urological complication: 8 (57.1%) in the 14 patients or 8 (72.7%) in the 11 patients who underwent urological evaluation. Urological imaging studies were performed essentially for the evaluation of accompanying urinary tract infections. Four patients had stage II chronic kidney disease at the last follow-up. CONCLUSION: Urologic problems occurred frequently in MD, with bladder diverticula being the most common. Therefore, urological imaging studies and appropriate management of urological complications, which may prevent or reduce the development of urinary tract infections and renal parenchymal damage, are required in all patients with MD.


Subject(s)
Ceruloplasmin , Connective Tissue , Copper , Diverticulum , Female , Follow-Up Studies , Genotype , Hair , Humans , Medical Records , Menkes Kinky Hair Syndrome , Metabolism , Muscle Hypotonia , Phenotype , Renal Insufficiency, Chronic , Retrospective Studies , Seizures , Urinary Bladder , Urinary Tract Infections
15.
Article in English | WPRIM | ID: wpr-765336

ABSTRACT

OBJECTIVE: Aberrant right subclavian artery (ARSA) is a rare anatomical variant of the origin of the right subclavian artery. ARSA is defined as the right subclavian artery originating as the final branch of the aortic arch. The purpose of this study is to determine the prevalence and the anatomy of ARSA evaluated with computed tomography (CT) angiography. METHODS: CT angiography was performed in 3460 patients between March 1, 2014 and November 30, 2015 and the results were analyzed. The origin of the ARSA, course of the vessel, possible inadvertent ARSA puncture site during subclavian vein catheterization, Kommerell diverticula, and associated vascular anomalies were evaluated. We used the literature to review the clinical importance of ARSA. RESULTS: Seventeen in 3460 patients had ARSA. All ARSAs in 17 patients originated from the posterior aspect of the aortic arch and traveled along a retroesophageal course to the right thoracic outlet. All 17 ARSAs were located in the anterior portion from first to fourth thoracic vertebral bodies and were located near the right subclavian vein at the medial third of the clavicle. Only one of 17 patients presented with dysphagia. CONCLUSION: It is important to be aware ARSA before surgical approaches to upper thoracic vertebrae in order to avoid complications and effect proper treatment. In patients with a known ARSA, a right transradial approach for aortography or cerebral angiography should be changed to a left radial artery or transfemoral approach.


Subject(s)
Angiography , Aorta, Thoracic , Aortography , Catheterization , Catheters , Cerebral Angiography , Clavicle , Deglutition Disorders , Diverticulum , Humans , Korea , Prevalence , Punctures , Radial Artery , Subclavian Artery , Subclavian Vein , Thoracic Vertebrae
16.
Article in English | WPRIM | ID: wpr-763999

ABSTRACT

Jugular bulb diverticulum is an irregular extension of the jugular bulb into the temporal bone that may be symptomatic or asymptomatic. The jugular bulb has rarely been reported to extend into the occipital condyle; such extension is termed a condylar jugular diverticulum and is characterized as a defect in the occipital condyle contiguous with the jugular bulb. This report details 3 cases of condylar jugular diverticulum. Extension of the jugular bulb into the ipsilateral occipital condyle was noted as an incidental finding on cone-beam computed tomographic (CBCT) images of 3 patients. All 3 patients were asymptomatic, and this finding was unrelated to the initial area of interest. CBCT use is becoming ubiquitous in dentistry, as it allows 3-dimensional evaluation, unlike conventional radiography. Proper interpretation of the entire CBCT is essential, and recognition of the indicators of condylar jugular diverticulum may prevent misdiagnosis of this rare entity.


Subject(s)
Cone-Beam Computed Tomography , Dentistry , Diagnostic Errors , Diverticulum , Growth and Development , Humans , Incidental Findings , Jugular Veins , Radiography , Temporal Bone
17.
Article in English | WPRIM | ID: wpr-761864

ABSTRACT

BACKGROUND: There is no established surgical procedure for the treatment of epiphrenic esophageal diverticulum. The aim of this study was to compare the clinical outcomes of esophageal diverticulectomy using abdominal and thoracic approaches. METHODS: We retrospectively reviewed 30 patients who underwent esophageal diverticulectomy through the thoracic or abdominal approach for an epiphrenic diverticulum at a single center between 1996 and 2018. We compared clinical outcomes, including the postoperative length of stay, time from the operation to oral feeding, leakage rate, and reoperation rate between the 2 groups. RESULTS: The median age was 56 years. Of the 30 patients, 18 (60%) underwent diverticulectomy via the thoracic approach and 12 (40%) underwent the abdominal approach. The median hospital stay was 10 days (range, 5–211 days) in the thoracic approach group and 9.5 days (range, 5–18 days) in the abdominal approach group. The median time from the operation until oral feeding was 6.5 days (range, 3–299 days) when the thoracic approach was used and 5 days (range, 1–11 days) when the abdominal approach was used. In the thoracic approach group, the leakage rate was 16.67% and the reoperation rate was 27.78%. However, there were no cases of leakage or reoperation in the abdominal approach group. CONCLUSION: The abdominal approach for esophageal diverticulectomy is a feasible and appropriate alternative to the thoracic approach.


Subject(s)
Diverticulum , Diverticulum, Esophageal , Humans , Laparoscopy , Length of Stay , Reoperation , Retrospective Studies
18.
Article in English | WPRIM | ID: wpr-761547

ABSTRACT

BACKGROUND/AIMS: The etiology of colon diverticulosis is related to a range of genetic, biological, and environmental factors, but the risk factors for asymptomatic diverticulosis of the colon are unclear. This study examined the risk factors for asymptomatic colon diverticulosis. METHODS: This retrospective study included examinees who underwent a colonoscopy for screening at the health check-up center of SAM Hospital between January 2016 and December 2016. The examinees with colon diverticulosis found by colonoscopy were compared with those without diverticulosis. The comparison factors were age, gender, alcohol consumption, smoking status, medical history, lipid profile, body mass index, visceral fat area, waist-hip ratio, and severity of a fatty liver. RESULTS: This study included 937 examinees and the overall prevalence of diverticulosis was 8.1% (76/937). Fatty liver was found in 69.7% (53/76) in cases of colon diverticulosis and 50.3% (433/861) in the control group (p=0.001). The average waist-hip ratio was 0.92±0.051 in colon diverticulosis and 0.90±0.052 in the control group (p=0.052). Multivariate analysis revealed the waist-hip ratio (OR=1.035, 95% CI 1.000–1.070, p=0.043), moderate fatty liver (OR=2.238, 95% CI 1.026–4.882, p=0.043), and severe fatty liver (OR=5.519, 95% CI 1.236–21.803, p=0.025) to be associated with an increased risk of asymptomatic colon diverticulosis. CONCLUSIONS: The waist-hip ratio, moderate fatty liver, and severe fatty liver are risk factors for asymptomatic colon diverticulosis. Central obesity, which can be estimated by the waist-hip ratio, and fatty liver might affect the pathogenesis of asymptomatic colon diverticulosis.


Subject(s)
Alcohol Drinking , Body Mass Index , Colon , Colonoscopy , Diverticulum , Fatty Liver , Intra-Abdominal Fat , Mass Screening , Multivariate Analysis , Obesity, Abdominal , Prevalence , Retrospective Studies , Risk Factors , Smoke , Smoking , Waist-Hip Ratio
19.
Article in English | WPRIM | ID: wpr-760341

ABSTRACT

The aim of this study was to determine predictive risk factors implicated in complications in dogs with esophageal foreign bodies. Medical records of 72 dogs diagnosed with esophageal foreign bodies by endoscopy were reviewed retrospectively. Factors analyzed included age; breed; gender; body weight, location, dimension, and type of foreign body; and duration of impaction. To identify risk factors associated with complications after foreign body ingestion, categorical variables were analyzed using the chi-square or Fisher's exact tests and multivariate analysis, as appropriate. Complications secondary to esophageal foreign body ingestion included megaesophagus, esophagitis, perforation, laceration, diverticulum, and pleuritis. Univariate analysis revealed that the location and duration of impaction after foreign body ingestion were associated with an increased risk of esophageal laceration and perforation. Multivariate analysis showed that age, duration of impaction, and foreign body dimension were significant independent risk factors associated with the development of complications in dogs with esophageal foreign bodies. In conclusion, these results showed that longer duration of impaction and larger foreign body dimensions may increase the risks of esophageal laceration, perforation, and plueritis in dogs.


Subject(s)
Animals , Body Weight , Diverticulum , Diverticulum, Esophageal , Dogs , Eating , Endoscopy , Esophageal Achalasia , Esophageal Perforation , Esophagitis , Foreign Bodies , Lacerations , Medical Records , Multivariate Analysis , Pleurisy , Retrospective Studies , Risk Factors
20.
São Paulo; HSPM; 2019.
Non-conventional in Portuguese | LILACS, ColecionaSUS, SMS-SP, HSPM-Producao, SMS-SP | ID: biblio-1280774

ABSTRACT

RESUMO Introdução: o divertículo é uma formação sacular que ocorre na parede de todo o trato gastrointestinal, sendo o lugar mais acometido o colón. Divertículos localizados no intestino delgado são raros com uma incidência de 0,3-1,3% em series de necropsias. Sendo mais frequente no jejuno proximal. A maioria dos divertículos de intestino delgado são assintomáticos correspondendo ao 60%, minimamente sintomáticos 30% e 10% dos pacientes podem desenvolver complicações graves. Apresentamos o relato de caso de uma paciente do sexo feminino de 71 anos de idade com dor abdominal, que apresentou uma grave complicação secundaria a diverticulite de intestino delgado. Relato de caso: paciente do sexo feminino de 71 anos de idade admitida na sala de emergência com quadro clínico de dor abdominal há 1 dia de evolução associado a diarreia amarelada, cinco episódios de vômitos e sensação de febre. Apresentando hipotensão sem taquicardia no momento da admissão, ao exame físico da região abdominal apresentava dor a palpação em hipocôndrio direito porem sem sinais de inflamação peritoneal. No oitavo dia de internação por não apresentar melhora da dor abdominal, é solicitada uma tomografia de abdome evidenciando pneumoperitônio. Foi indicada laparotomia exploradora de urgência, identificando divertículos de jejuno proximal com dois pontos de perfuração e um divertículo bloqueado no ângulo de Treitz. Sendo realizada enterectomia segmentar com anastomose primaria e divertículectomia. Conclusões: a doença divertícular é uma doença rara, de difícil diagnóstico, mas que precisa ser lembrada já que a falta e atraso no diagnóstico e no tratamento podem levar a complicações graves. Nosso relato de caso mostra a importância que a diverticulite de intestino delgado tem que ter no diagnostico diferencial em caso de abdome agudo principalmente em pacientes idosos. Palavras-chave: Dor abdominal, Divertículo, Diverticulite, Intestino delgado, Abdome agudo, Perfuração intestinal.


Subject(s)
Humans , Male , Female , Abdominal Pain , Diverticulum , Diverticulitis , Abdomen, Acute , Intestinal Perforation , Intestine, Small
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