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2013, Number 5

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Cir Cir 2013; 81 (5)

Sigmoid diverticulitis in adolescent. case Report

Valenzuela-Salazar C, Orozco-Tapia LM, Blankenagel EC, Gallardo-Ramírez MA, Blas-Franco M, Cárdenas-Lailson LE

Language: Spanish
References: 19
Page: 445-449
PDF size: 239.33 Kb.


ABSTRACT

Background: Few cases have been reported in children and adolescents of sigmoid diverticulitis. Most of the case reports in medical literature are associated with true congenital diverticula and genetic diseases of collagen synthesis.
Clinical case: 13 year-old female who was admitted to General and Endoscopic Surgery service with diagnosis of complicated appendicitis. Laparotomy was performed finding complicated sigmoid diverticular disease. Lavage, sigmoidectomy and primary anastomosis were performed. The histopathological findings reported a perforated pseudo-diverticulum of the sigmoid colon with peritonitis. The patient was discharged 72 hours after surgery and no complications were reported.
Conclusion: There are only case reports about colonic diverticulitis in children and adolescents, and its etiology has not yet been well established. This patient had sigmoid pseudo-diverticula and did not present genetic concomitant disease. This case is an exception to data reported on literature about diverticular disease in this population.


REFERENCES

  1. Halsted WS. Intestinal anastomosis. Bull Johns Hopkins Hosp 1891;2:1-4.

  2. Thomson HJ, Busuttil A, Eastwood MA, Smith AN, Elton RA. Submucosal collagen changes in the normal colon in diverticular disease. Int J Colorectal Dis 1987;2:208-213.

  3. Painter NS, Truelove SC. The intraluminal pressure patterns in diverticulosis of the colon: Part I Resting patterns of pressure. Gut 1964;5:201-207.

  4. Biondo S, Lopez-Borao J, Millan M, Kreisler E, Jaurrieta E. Current status of the treatment of acute colonic diverticulitis: a systematic review. Colorectal Dis 2012;14(1):e1-e11. doi: 10.1111/j.1463- 1318.2011.02766.x.

  5. Cohen JL, Welch JP: Diverticular disease. In Zuidema GD, Yeo CJ (eds): Shackelford’s Surgery of the Alimentary Tract, 6th ed. Philadelphia: WB Saunders, 2006;2012-2028.

  6. Laméris W, van Randen A, van Gulik TM, Busch ORC, Winkelhagen J, Bossuyt PMM, et al. A Clinical Decision Rule to Establish the Diagnosis of Acute Diverticulitis at the Emergency Department. Dis Colon Rectum 2010;53:896-904.

  7. Werner A, Diehl SJ, Farag-Soliman M, Düber C. Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients. Eur Radiol 2003;13:2596-2603.

  8. Kaiser AM, Jiang JK, Lake JP, Ault G, Artinyan A, Gonzalez-Ruiz C, et al. The Management of Complicated Diverticulitis and the Role of Computed Tomography. Am J Gastroenterol 2005;100:910-917.

  9. Wong WD, Wexner SD, Lowry A, Vernava A, Burnstein M, Denstman F, et al. Practice parameters for the treatment of sigmoid diverticulitis – Supporting documentation. The Standards Task Force. The American Society of Colon and Rectal Surgeons. Dis Colon Rectum 2000;43:290-297.

  10. Trenti L, Biondo S, Golda T, Monica M, Kreisler E, Fraccalvieri D, et al. Generalized peritonitis due to perforated diverticulitis: Hartmann’s procedure or primary anastomosis? Int J Colorectal Dis 2011;26:377-384.

  11. Taylor CJ, Layani L, Ghusn MA, White SI. Perforated diverticulitis managed by laparoscopic lavage. ANZ J Surg 2006;76:962-965.

  12. Santin BJ, Prasad V, Caniano DA. Colonic diverticulitis in adolescence: an index case and associated syndromes. Pediatr Surg Int 2009;25:901-905.

  13. Sigaloff KCE, van den Berg JG, Benninga MA. Cecal Diverticulitis in an Adolescent. J Pediatr Gastroenterol Nutr 2005;40:603-605.

  14. Wilkinson S. Acute solitary diverticulitis of the transverse colon in a child. Report of a case. Dis Colon Rectum 1988;31:574-576.

  15. Benya EC, Nussbaum-Blask AR, Selby DM. Colonic diverticulitis causing partial bowel obstruction in a child with cystic fibrosis. Pediatr Radiol 1997;27:918-919.

  16. Aktay A, Segura AD, Oldham KT, Kugathasan S. Diffuse diverticulosis of colon with spontaneous perforation in a child. J Pediatr Gastroenterol Nutr 1999;29:521.

  17. Deshpande AV, Oliver M, Yin M, Goh TH, Hutson JM. Severe colonic diverticulitis in adolescent with Williams syndrome. J Pediatr Child Health 2005;41:687-688.

  18. Garcia MA, Kling KM, Newbury RO, Huang JS. Complicated Diverticular Disease in a Child with Williams Syndrome. J Pediatr Gastroenterol Nutr 2009;8:233-236.

  19. Ignacio RC, Klapheke WP, Stephen T, Bond S. Diverticulitis in a child with Williams syndrome: a case report and review of the literature. J Pediatr Surg 2012;47:e33-e35.




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