A clinical case of surgical treatment of small intestinal diverticulosis with covered diverticulum perforation, formation of abscesses and diffuse purulent peritonitis

Authors

  • Ye. M. Shepetko Kyiv Medical University Innovative Surgical Center “Adonis-lab” SP
  • V. V. Iefremov Kyiv Medical University
  • H. V. Poltavets Innovative Surgical Center “Adonis-lab” SP
  • V. V. Ushko Innovative Surgical Center “Adonis-lab” SP

DOI:

https://doi.org/10.11603/2414-4533.2022.1.12922

Keywords:

diverticular disease, small bowel diverticulum perforation; purulent peritonitis, abdominal abscess, bowel resection, bowel intubation

Abstract

A clinical case of diagnosis and successful treatment of a patient with diverticulosis of the small intestine, complicated by covered perforation of the small intestine diverticulum with abscess formation and diffuse purulent peritonitis was desribed.

References

Rajaguru, K., & Sheong, S.C. (2021). Case report on a rare cause of small bowel perforation perforated ileal diverticulum. International Journal of Surgery Case Reports, 87,106465.

Vayzband, V., Ashraf, H., & Esparragoza, P. (2021). Surgically managed perforated jejunal diverticulitis. Cureus, 13 (6), e15930. DOI 10.7759/cureus.15930.

Anjum, R., Kumar, N., & Singla, T. (2021). A case of isolated jejunal diverticulum presented as free perforation: A rare cause of acute abdomen. Cureus, 13 (10), e18809. DOI: 10.7759/cureus.18809

Imanaliev, M.R., Nazhmudinov, Z.Z., Gusejnov, A.G., Magomedov, M.A., & Saidov, M.G. (2017). Perforatsiya divertikula tonkoy kishki [Perforation of the diverticulum of the small intestine]. Hirurgiya – Surgery, 7, 59-60 [in Russian].

Zdzitoveckiy, D.Ye., Beloborodov, A.A., Danilina, E.P., Borisov, R.N., & Tyapkin, S.I. (2013). Divertikulyarnaya bolezn tonkoy kishki s perforatsiey i razvitiem rasprostranennogo gnoynogo peritonita [Diverticular disease of the small intestine with perforation and the development of widespread purulent peritonitis]. Sibirskoe meditsinskoe obozrenie ‒ Siberian Medical Review, 6, 76-78 [in Russian].

Ben Ismail, I., Ben Chaabene, H., Rebii, S., & Zoghlami, A. (2021). Perforated jejunal diverticulitis: A rare cause of acute abdominal pain. Clin. Case Rep., 9, e04594. Retrieved from: https://doi. org/10.1002/ccr3.459

Myakonkiy, R.V., & Kaplunov, K.O. (2016). Sluchay divertikulyarnoy bolezni tonkoy kishki, oslozhnivsheysya perforatsiey divertikula s obrazovaniem mezhkishechnogo abscessa i razvitiem ostroy kishechnoy neprohodimosti [A case of diverticular disease of the small intestine, complicated by perforation of the diverticulum with the formation of an interintestinal abscess and the development of acute intestinal obstruction]. Volgogradskiy nauchno-medicinskiy zhurnal ‒ Volgograd Scientific Medical Journal, 4, 55-59 [in Russian].

Platicyn, I.V., Kondratev, A.V., Panin, A.V., Shubarkina, E.M., & Maslov, A.L. (2019). Perforatsiya divertikula toshhey kishki: rol KT-issledovaniya [Perforation of the jejunal diverticulum: the role of CT examination]. Medicinskaya vizualizatsiya ‒ Medical Imaging, 3, 66-76. Retrieved from: https://doi.org/10.24835/1607-0763-2019-3-66-76/ [in Russian].

Nascimbeni, R., Amato, A., Cirocchi, R., Serventi, A., Laghi, A., Bellini, M., Tellan, G., et al. (2021). Management of perforated diverticulitis with generalized peritonitis. A multidisciplinary review and positionpaper. Tech Coloproctol., 25 (2), 153-165. DOI:10.1007/s10151-020-02346-y.

Lock, J.F., Galata, C., Reißfelder, C., Ritz, J.P., Schiedeck, T., & Germer, C.T. (2020). The indications for and timing of surgery for diverticular disease. Dtsch. Arztebl. Int., 117, 591-596. DOI: 10.3238/arztebl.2020.0591.

Adiamah, A., Ban, L., Otete, H., Crooks, C.J., West, J., & Humes, D.J. (2021). Outcomes after non-operative management of perforated diverticular disease: a population-based cohort study. BJS Open, zraa073/DOI: 10.1093/bjsopen/zraa073. Retrieved from: https://doi.org/10.17116/hirurgia2017759-60.

Downloads

Published

2022-05-20

How to Cite

Shepetko, Y. M., Iefremov, V. V., Poltavets, H. V., & Ushko, V. V. (2022). A clinical case of surgical treatment of small intestinal diverticulosis with covered diverticulum perforation, formation of abscesses and diffuse purulent peritonitis. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 86–90. https://doi.org/10.11603/2414-4533.2022.1.12922

Issue

No. 1 (2022)

Section

CASE REPORT

License

Copyright (c) 2022 Hospital Surgery. Journal named by L.Ya. Kovalchuk

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).