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Diverticulitis Yeyunal Perforada: Un Estudio Observacional Retrospectivo
Elena Desmay Hernandez1, Nibin Menacherry2, Shiva Pratap Unnenahalli Visweswaraiah3
1Internal Medicine, Royal Stoke University Hospital, Stoke-on-Trent, GBR.
Cureus
|December 22, 2025
Resumen
La diverticulitis yeyunal con perforación es rara pero grave. Tanto el tratamiento quirúrgico como el conservador muestran resultados favorables, con un manejo guiado por la estabilidad del paciente y la respuesta a los antibióticos.
Área de la Ciencia:
- Gastroenterología
- Gastroenterología Quirúrgica
- Imagen Abdominal
Sus antecedentes:
- La diverticulitis yeyunal es una causa rara de dolor abdominal, que a menudo imita otras afecciones.
- Conlleva el riesgo de complicaciones graves, incluida la perforación.
- Existe evidencia limitada sobre las estrategias de manejo óptimas.
Objetivo del estudio:
- Evaluar las estrategias de manejo y los resultados de la perforación de divertículos yeyunales (PDY).
- Comparar los resultados entre los enfoques de tratamiento quirúrgico y conservador para la PDY.
Principales métodos:
- Estudio observacional retrospectivo en un solo centro del Reino Unido.
- Se incluyeron 12 pacientes diagnosticados de perforación de divertículos yeyunales (PDY) entre 2012 y 2025.
- Los datos analizados incluyeron demografía, presentación, imágenes, tratamiento, complicaciones y resultados; se realizaron comparaciones estadísticas entre los grupos quirúrgico y conservador.
Principales resultados:
- Doce pacientes (edad media 71,5 años, 75 % hombres) con PDD confirmada por TC.
- Siete pacientes (58,3 %) se sometieron a cirugía (resección/anastomosis segmentaria); cinco (41,7 %) recibieron tratamiento conservador (antibióticos IV).
- Las tasas de complicaciones fueron similares (42,9 % quirúrgico frente a 40,0 % conservador), sin mortalidad observada.
Conclusiones:
- La diverticulitis yeyunal con perforación requiere un reconocimiento temprano y confirmación por TC.
- Tanto el manejo conservador como el quirúrgico producen resultados favorables.
- Las decisiones de tratamiento deben considerar la estabilidad clínica, la respuesta a los antibióticos y la idoneidad quirúrgica.
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