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Endoscopic diagnosis of asymptomatic perforation of colonic diverticulum

Luis María Merino Peñacoba1, María Lourdes Ruiz Rebollo2, Íñigo López de Cenarruzabeitia3

  • 1Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario de Valladolid, España.

Revista Espanola De Enfermedades Digestivas
|May 19, 2016
PubMed

Insights

Acute diverticulitis can cause colonic perforation, a common complication. However, perforations on the mesenteric border may present with subtle, indolent symptoms, challenging diagnosis.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Acute diverticulitis is a prevalent condition.
  • Colonic perforation is a known complication of acute diverticulitis.

Observation:

  • Perforation at the mesenteric border presents atypically.
  • This specific location can lead to an indolent clinical course.

Findings:

  • Mesenteric border colonic perforations may not exhibit typical severe symptoms.
  • The presentation can be deceptively mild, delaying recognition.

Implications:

  • Early recognition of indolent presentations is crucial for timely intervention.
  • Clinical suspicion should be heightened for atypical diverticulitis complications.

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