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Penetration and Perforation of Terminal Ileum Diverticulitis
المؤلفون المشاركون
Narushima, Yoichi
Iwama, Noriyuki
Nakayama, Fumie
Tokumura, Hiromi
Saijo, Fumito
Sawada, Kentaro
Nomura, Ryohei
Mutoh, Mitsuhisa
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-10-27
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
Terminal ileum diverticulitis is a rare clinical disease.
It can frequently mimic other processes, such as acute appendicitis.
Diagnosis and therapeutic decision making (surgical or conservative treatment) can be complex.
We report four interesting cases of terminal ileum diverticulitis.
Case Presentation.
Case 1: a 55-year-old male presented to us with a 3-day history of severe right lower quadrant pain.
Computed tomography (CT) showed penetration of terminal ileum diverticulitis.
Following a 7-day conservative treatment, he underwent ileocecal resection.
Pathology results revealed a false diverticulum and two in five points of perforated terminal ileum diverticulum.
Case 2: a 77-year-old male presented to us with severe right lower quadrant pain and unconsciousness.
CT showed penetration of terminal ileum diverticulitis and air in the mesentery.
Ileocecal resection was performed 2 days postadmission.
Pathology results revealed a false diverticulum and penetrated terminal ileum diverticulum.
Case 3: a 61-year-old male presented to us with a right lower quadrant pain for 10 days and fever for 6 days.
CT showed penetration of terminal ileum diverticulitis and abscess of the psoas muscle.
Puncture and drainage of abscess were performed.
Laparoscopic ileocecal resection was performed 30 days postadmission.
Pathology results revealed a false diverticulum and penetrated terminal ileum diverticulum.
Case 4: a 39-year-old female presented to us with right lower quadrant pain for 9 days, suspicious of appendicitis.
CT showed abscess of pericecal area.
Puncture and drainage were performed.
A drainage tube was located into the cecum through the terminal ileum.
Conservative therapy was effective, and she was discharged 23 days postadmission.
Conclusions.
All four cases had right lower quadrant pain.
Three cases were diagnosed by CT, whereas one was diagnosed by abscess drainage.
Two cases required surgical treatment within 3 days, one within about 1 month, and one case did not require surgery.
The decision of whether to manage a patient surgically or conservatively is difficult.
It is critical not to delay the decision of performing a surgical treatment until each patient reaches a stable general condition.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Saijo, Fumito& Sawada, Kentaro& Nomura, Ryohei& Mutoh, Mitsuhisa& Narushima, Yoichi& Iwama, Noriyuki…[et al.]. 2020. Penetration and Perforation of Terminal Ileum Diverticulitis. Case Reports in Surgery،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1151477
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Saijo, Fumito…[et al.]. Penetration and Perforation of Terminal Ileum Diverticulitis. Case Reports in Surgery No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1151477
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Saijo, Fumito& Sawada, Kentaro& Nomura, Ryohei& Mutoh, Mitsuhisa& Narushima, Yoichi& Iwama, Noriyuki…[et al.]. Penetration and Perforation of Terminal Ileum Diverticulitis. Case Reports in Surgery. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1151477
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1151477
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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