• The American surgeon · Jun 2005

    Review Case Reports

    Synchronous diverticular perforation: report of a case.

    • Eduardo Krajewski, Samuel Szomstein, and Eric G Weiss.
    • Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA.
    • Am Surg. 2005 Jun 1;71(6):528-31.

    AbstractSynchronous colonic events are rare. Diverticulitis is the most common and lethal cause of colonic perforation. The first case in the literature of a synchronous diverticular perforation is presented. The patient was admitted with peritonitis. An exploratory laparotomy showed cecal and sigmoid perforations. Resection and primary anastomosis with a protective loop ileostomy was performed. Microscopic evaluation confirmed the presence of cecal and sigmoid perforated diverticuli. Diverticular disease is present in up to two-thirds of patients 80 years of age and older. Right-sided free colonic perforation is rare. Resection and primary anastomosis is feasible in the treatment of perforated diverticular disease. In this report, we emphasize the importance of a thorough abdominal exploration at the time of surgery.

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