Perforated diverticulitis of the transverse colon

Shperber, Y; Halevy, Ariel; Oland, Jan; Orda, Ruben

doi:10.1007/bf02561589

Cited by 16 publications

(5 citation statements)

References 14 publications

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“…Transverse colonic diverticula (TCD) represent only 6% of all gastrointestinal tract diverticula and are usually detected as asymptomatic findings on endoscopic examination [14]. Patients with TCD are 15-20 years younger than patients with left-sided diverticulitis [15]. Bowel perforation is a well-known complication of acute diverticulitis that occurs secondary to severe inflammation as probably happened in our patient.…”

Section: Discussionmentioning

confidence: 70%

Gastrointestinal Complications of COVID-19 Vaccines

Ajmera¹,

Bansal²,

Wilkinson³

et al. 2022

Cureus

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Much of the control over the coronavirus disease 2019 (COVID-19) pandemic has been achieved by mass vaccination against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the etiologic agent that causes COVID-19. The COVID-19 mRNA (messenger RNA) vaccines are relatively newly approved and have been widely used in the US since they first became available. However, with passing time, data regarding adverse events associated with the mRNA vaccines have become clearer. Vaccines are safe in general, and the benefits outweigh the risks of adverse events. In this case report, we present the first documented case report of post-vaccination acute diverticulitis and colon micro-perforation following Moderna booster dose (Moderna Inc, Cambridge, USA) in a young adult. Vaccine recipients should be educated on vaccine-associated gastrointestinal (GI) adverse events in order to reduce morbidity and mortality. We also recommend that vaccine recipients with pre-existing GI disorders should be carefully monitored for the worsening of pre-existing conditions post-COVID-19 vaccination.

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Section: Discussionmentioning

confidence: 70%

Gastrointestinal Complications of COVID-19 Vaccines

Ajmera¹,

Bansal²,

Wilkinson³

et al. 2022

Cureus

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“…5 Another strategy was followed by Shperber et al, who performed a diverticulectomy and subsequent closure of the perforation. 10 However, the outcome was not favourable: leakage was detected and subsequent reoperation with a right colectomy was mandatory.…”

Section: Discussionmentioning

confidence: 99%

Diverticulitis of the transverse colon manifesting as colocutaneous fistula

Bakopoulos

Tsilimigras

Syriga

et al. 2018

annals

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The transverse colon is a particularly rare site for a diverticulum to develop, with only few reports of solitary diverticula described in the literature. Among the reported complications, colocutaneous fistulas appear relatively infrequently. We describe the case of an 80-year-old woman with a solitary diverticulum of the transverse colon presenting as acute diverticulitis with abscess formation in the epigastric region. A fistulous tract was found between the inflamed colon and the skin. A wedge resection of the inflamed colon together with the fistula and the solitary diverticulum was performed followed by primary suturing of the healthy colonic tissue. Despite the sufficient treatment and thorough clearance of the area, the patient died ten days later from ventilator associated pneumonia. Although rare, in patients presenting with a subcutaneous abscess in the abdominal region, there should be a high level of suspicion for active intraperitoneal inflammation derived from complicated diverticular disease given the continuously elevated prevalence of the condition in Western societies. The decision regarding proper management of this clinical state should be based on thorough clinical examination and imaging.

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“…10,11 There are less than 50 cases reported in the world literature, but it has been established that patients with diverticulitis of the transverse colon, are between 15 and 20 years younger, than patients with diverticulitis in the left colon. 12,13 The average age of presentation, is around 45 years. Up to 85% of the cases have been described in women.…”

Section: Discussionmentioning

confidence: 99%

Acute perforated transverse colon diverticulitis simulating acute cholecystitis: case report and literature review

et al. 2017

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Transverse colon diverticulitis is a rare entity, described for the first time in 1944 by Thompson and Fox. Even more uncommon if presented with diverticular perforation of the colon. When ranking diverticula distribution by their anatomical location site, it has been set up that transverse colon is involved in an average of 10% of the cases, but diverticulitis or inflammation of these sacculations in this anatomical region only occurs in 0.5-2.5% of the cases. Female, 44 years old, who came to emergency room with acute abdominal pain as colic of 24 hours of evolution, Acute cholecystitis was considered as a first diagnostic possibility. Pain persistence and peritoneal irritation lead to an abdominal contrasted tomography (contrast IV). Oval formations protruding from the gut lumen in ascending and transverse colon were found, corresponding to diverticula. Patient was admitted in hospital and maintained in fasting period and with a double antibiotic scheme she was discharged on the 5th day of hospital stay. Transverse colon diverticulitis is a rare entity, there exist less than 50 cases reported in worldwide literature but it has been determined that patients with transverse colon diverticulitis are 15 and 20 years younger than patients with left colon diverticulitis. That is, average age of manifestation is about 45 years old. 85% of the cases have been described in women. Reports managed it successfully with antibiotics. The present report could be achieved favourably with a double antibiotic scheme, with no need of surgery.

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Perforated diverticulitis of the transverse colon

Cited by 16 publications

References 14 publications

Gastrointestinal Complications of COVID-19 Vaccines

Gastrointestinal Complications of COVID-19 Vaccines

Diverticulitis of the transverse colon manifesting as colocutaneous fistula

Acute perforated transverse colon diverticulitis simulating acute cholecystitis: case report and literature review

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