Colonic diverticulitis in children: A retrospective study of 16 patients

Abstract

Background: Pediatric colonic diverticulitis (CD) is a rare entity. This study aimed to investigate the clinical features of CD in children. Methods: We performed a retrospective chart review of children aged ≤15 years who were diagnosed with CD in our institution from May 2006 to November 2016. Results: Sixteen patients were diagnosed with CD. All CD cases were observed to be solitary cecal diverticulitis; 14 cases were detected using ultrasound and the other two cases were diagnosed by computed tomography. Five patients were male (31.3%), and the median age was 12 years (range, 8-15 years). Initial symptoms were fever (temperature >38°C) in six (37.5%) patients, right lower quadrant abdominal pain in 16 (100%), anorexia in eight (50%), and nausea / vomiting in five (31.3%). A patient experienced persistent constipation; however, diarrhea was not observed as a clinical symptom in any patient. The median duration from symptom onset to admission was 1 day (range, 0-4 days), and the median length of hospital stay was 6 days (range, 4-10 days). All CD cases were treated with intravenous antibiotics. The median follow-up period was 90 months (range, 37-163 months), and during this period, recurrence of CD was observed in three (18.8%) patients. At recurrence, antibiotics were administered in all cases. Conclusions: In this study, all cases of CD were solitary cecal diverticulitis, and ultrasound was useful for the diagnosis of cecal diverticulitis in children. Non-operative treatment should be recommended as an initial treatment for CD in children.

Báo Cáo Ca Bệnh: Phẫu Thuật Nội Soi Điều Trị Viêm Túi Thừa Manh Tràng Tại Bệnh Viện Nhi Đồng Cần Thơ

“…Chúng tôi nhận thấy bệnh lý túi thừa đại tràng nếu được phát hiện sớm thì khả năng điều trị nội khoa thành công cao, kể cả có phẫu thuật cắt túi thừa vẫn đảm bảo an toàn cho bệnh nhân khi phẫu thuật viên có kỹ năng tốt. Tuy nhiên, viêm túi thừa đến muộn thường kèm theo tình trạng viêm phúc mạc, nhiễm trùng nhiễm độc, một số trường hợp khó phân biệt với ung thư biểu mô vậy nên xử lý tốt nhất khi đó là cắt đoạn đại tràng nối ngay hoặc cắt đoạn và làm hậu môn tạm [1], [5], [6], kéo dài thời gian nằm viện và nguy cơ biến chứng cho bệnh nhân.…”