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[Acute perforated sigmoid diverticulitis in childhood]

N Hernández-Siverio1, M A Gómez Culebras, H Alvarez-Argüelles

  • 1Departamento de Cirugía, Hospital Universitario de Canarias, La Laguna, Tenerife.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|January 1, 1992
PubMed

Insights

This case report details a rare instance of acute sigmoid colon perforation from diverticulitis in a 10-year-old child. This aggressive presentation highlights the potential for severe complications in pediatric patients with diverticulitis.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Colonic diverticulosis is common in older adults.
  • Diverticulitis in younger patients (<40) is often aggressive and complicated.
  • Pediatric diverticulitis is exceptionally rare, with limited documented cases.

Observation:

  • A 10-year-old child presented with acute sigmoid colon perforation due to diverticulitis.
  • The patient underwent surgical resection of the sigmoid colon with primary end-to-end anastomosis.
  • No similar cases were found in literature for individuals under 20 years of age.

Findings:

  • This case represents an extremely rare occurrence of colonic diverticulitis with perforation in a pediatric patient.
  • The aggressive nature of diverticulitis in young individuals was evident, necessitating surgical intervention.
  • The successful surgical management demonstrates the feasibility of resection and anastomosis in this age group.

Implications:

  • Highlights the importance of considering diverticulitis in the differential diagnosis of acute abdominal pain in children.
  • Suggests that pediatric diverticulitis can present with severe complications, similar to adults.
  • Underscores the need for further research into the etiology and management of pediatric colonic diverticulitis.

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