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[Complicated small intestine diverticulitis].
Robert J S Coelen1,2, L Maurits de Brauw1
1MC Slotervaart, afd. Chirurgie, Amsterdam.
Nederlands Tijdschrift Voor Geneeskunde
|May 24, 2019
Summary
Small intestine diverticulitis is rare but can cause serious complications like perforation. Surgical intervention may be necessary for acute cases, while asymptomatic diverticula require no treatment.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Diverticula, typically found in the colon, can also occur in the small intestine, though less frequently.
- Small intestine diverticula are often asymptomatic, with complications like obstruction, bleeding, or diverticulitis being rare.
Observation:
- An 85-year-old male presented with abdominal pain and elevated infection markers.
- Imaging revealed small intestine obstruction and wall thickening, leading to laparotomy.
- Surgical findings included small intestine diverticulitis with a covered perforation.
Findings:
- The patient underwent a partial small intestine resection.
- Post-operative recovery was smooth, with no recurrence of symptoms.
Implications:
- Asymptomatic small intestine diverticula do not necessitate treatment.
- Complicated small intestine diverticulitis, particularly with perforation, often requires surgical management.
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