Thigh Necrotizing Fasciitis Secondary to Perforated Sigmoid Diverticulitis
Publication date: Available online 7 August 2018Source: Cirugía Española (English Edition)Author(s): Jorge Sancho Muriel, Matteo Frasson, Salvador Pous, Eduardo García-Granero
Authors: Gómez Sánchez J, Zurita Saavedra M, Moreno Cortés C Abstract Meckel's diverticulum is the most frequent congenital gastrointestinal malformation and the clinical presentation varies from the absence of symptoms to intestinal obstruction or secondary perforation due to a foreign body. When reviewing the literature we found an interesting article by Fonseca et al., which describes the perforation of a Meckel's diverticulum by a fishbone. In this case, no imaging tests were used for diagnosis as there was a high clinical suspicion of a Meckel's diverticulitis. Recently, we had a similar p...
CONCLUSIONS: Our results indicated showed that the supplement with the probiotic mix of Bifidobacterium lactis LA 304, Lactobacillus salivarius LA 302, and Lactobacillus acidophilus LA 201 in combination with the standard antibiotic therapy for AUD reduced abdominal pain and inflammation significantly more than antibiotic treatment used alone. These findings could be due to the anti-inflammatory activity of the probiotic mix. Larger studies are needed to validate its use in the clinical practice. PMID: 31696504 [PubMed - in process]
Lifestyle and dietary risk factors for diverticulitis have also been associated with chronic inflammation. We performed a prospective study of associations among inflammatory potential of diets, circulating markers of inflammation, and the incidence of diverticulitis.
I have been treating diverticulitis for 30 years the same way. When I suspect that a patient has this diagnosis, I prescribe antibiotics. This has been the standard treatment for this disorder for decades. I have found that diverticulitis is a slippery entity that has two trap doors waiting for physicians to fall through. It […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
AbstractBackgroundSome patients with uncomplicated diverticulitis have extraluminal air. Our objective was to determine if patients with Hinchey 1a diverticulitis and isolated extraluminal air present more severe episode than patients without extraluminal air.MethodsThe present study is a monocentric observational retrospective cohort study. Computed tomographies of patients with diagnosed uncomplicated diverticulitis were retrospectively reviewed from the 01 January 2005 to the 31 December 2009. The presence of extraluminal air was determined. Leukocyte count, CRP value, and length of hospitalization were extracted from t...
Despite the increased adoption of minimally invasive techniques in colorectal surgery, an open resection with ostomy creation remains an accepted operation for perforated diverticulitis. In the United States, there is an increase in the rates of both morbid obesity and diverticular disease. Therefore, we wanted to explore whether outcomes for morbidly obese patients with diverticulitis are worse than nonmorbidly obese patients after open colectomy for diverticulitis.
We present a rare case of an adult patient with an extraperitoneal complications of a diverticular perforation presenting with facial swelling due to a colo-urachal fistula associated with a patent urachal remnant. Perforation should be considered in patients presenting with surgical emphysema with background of diverticular disease. PMID: 31697162 [PubMed - as supplied by publisher]
Publication date: October 2019Source: Journal of Visceral Surgery, Volume 156, Issue 5Author(s): K. Slim, J. Joris, L. Beyer-Berjot
ConclusionsAs a result, high neoplasm in ADD patients can be shown with incidence of perforation and plastron, and in order to avoid possible neoplasm or major complications, it is necessary to carry out new studies for the right diagnosis of ADD whether the diagnosis is done preoperatively or ıntraoperatively. We recommend surgical resection of the ADD, which may even be incidentally detected during any surgical procedure, due to its high risk of neoplasm and rapid perforation.
CONCLUSIONAlthough Meckel's diverticulitis is a rare entity, it can appear as an acute abdomen. An early diagnosis and treatment to prevent subsequent complications is essential to ensure an optimal recovery.