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Silent Sigmoid Colon Diverticular Perforation: A Case Report.
Sifullah Bashar1, Ali F Al Sbihi2, Nouraldeen Manasrah2
1Internal Medicine, Detroit Medical Center/Wayne State University Sinai-Grace Hospital, Detroit, USA.
Cureus
|June 10, 2021
Summary
Colonic perforation, a serious condition, can present without typical symptoms, especially in elderly patients. Early diagnosis and intervention are crucial for better outcomes in these challenging cases.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Colorectal Surgery
Background:
- Colonic perforation carries a high mortality rate, necessitating prompt diagnosis and intervention.
- Typical presentations involve peritoneal signs, but atypical cases pose diagnostic challenges.
Observation:
- A case of sigmoid diverticulosis perforation in an elderly patient with an asymptomatic presentation is reported.
- The patient exhibited no symptoms despite the perforation.
Findings:
- Atypical presentations of colonic perforation can occur, particularly in the elderly.
- The absence of symptoms following perforation can mask a serious condition.
Implications:
- Highlights the importance of thorough patient history and physical examination.
- Emphasizes maintaining a high index of suspicion for atypical presentations in at-risk individuals.
- Suggests considering colonic perforation even in the absence of classic symptoms.

