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Diverticulitis Aguda Yeyunal: Reporte de un Caso
Rebecca Sedivy1, Anmol Nigam1, Pravin Meshram1
1Department of Surgery, University of Minnesota, Minneapolis, USA.
Cureus
|February 17, 2026
Resumen
La diverticulitis aguda del intestino delgado es rara y difícil de diagnosticar. Este caso destaca la necesidad de intervención quirúrgica en casos complicados para prevenir resultados graves.
Área de la Ciencia:
- Gastroenterología
- Reportes de Casos Quirúrgicos
Sus antecedentes:
- La diverticulitis adquirida del intestino delgado es infrecuente, con síntomas inespecíficos y complicaciones raras como sepsis, sangrado y perforación.
- El diagnóstico puede ser un desafío debido a la presentación inespecífica y la posibilidad de perforaciones contenidas.
- La diverticulitis del intestino delgado conlleva un riesgo significativo de morbilidad y mortalidad.
Objetivo del estudio:
- Reportar un caso de diverticulitis yeyunal aguda con perforación.
- Enfatizar los desafíos diagnósticos y el manejo de la diverticulitis del intestino delgado.
- Destacar la importancia de la intervención quirúrgica para casos complicados.
Principales métodos:
- Reporte de caso de un hombre de 66 años con dolor agudo en el cuadrante inferior izquierdo.
- La tomografía computarizada (TC) reveló diverticulosis intestinal, aire libre e inflamación.
- Se realizó laparoscopia exploratoria, resección yeyunal y anastomosis primaria.
Principales resultados:
- El paciente presentó síntomas sugestivos de diverticulitis aguda.
- La tomografía computarizada mostró hallazgos consistentes con diverticulosis y perforación del intestino delgado.
- La patología quirúrgica confirmó diverticulitis aguda del intestino delgado y serositis.
- El paciente tuvo una recuperación sin incidentes y fue dado de alta al sexto día posoperatorio.
Conclusiones:
- La diverticulitis aguda del intestino delgado presenta desafíos diagnósticos debido a signos y hallazgos radiológicos inespecíficos.
- Las perforaciones pueden estar contenidas dentro del mesenterio, ocultando signos peritoneales.
- La intervención quirúrgica es el estándar de atención para el manejo de las complicaciones de la diverticulitis aguda del intestino delgado.
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