![](/images/graphics-bg.png)
Flare-Up Diverticulitis in the Terminal Ileum in Short Interval after Conservative Therapy: Report of a Case
Joint Authors
Okada, Shinichiro
Nishida, Kazuhiro
Nakatani, Kensuke
Kato, Takaharu
Matsumoto, Risa
Komuro, Hiroyasu
Iida, Maki
Tsujimoto, Shiro
Suganuma, Toshiyuki
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Diverticulitis in the terminal ileum is uncommon.
Past reports suggested that conservative therapy may be feasible to treat terminal ileum diverticulitis without perforation; however, there is no consensus on the therapeutic strategy for small bowel diverticulitis.
We present a 37-year-old man who was referred to our hospital for sudden onset of abdominal pain and nausea.
He was diagnosed with diverticulitis in the terminal ileum by computed tomography (CT).
Tazobactam/piperacillin hydrate (18 g/day) was administered.
The antibiotic treatment was maintained for 7 days, and the symptoms disappeared after the treatment.
Thirty-eight days after antibiotic therapy, he noticed severe abdominal pain again.
He was diagnosed with diverticulitis in terminal ileum which was flare-up of inflammation.
He was given antibiotic therapy again.
Nine days after antibiotic therapy, laparoscopy assisted right hemicolectomy and resection of 20 cm of terminal ileum were performed.
Histopathology report confirmed multiple ileal diverticulitis.
He was discharged from our hospital 12 days after the surgery.
Colonoscopy was performed two months after the surgery and it revealed no finding suggesting inflammatory bowel disease.
Surgical treatment should be taken into account as a potential treatment option to manage the diverticulitis in the terminal ileum even though it is not perforated.
American Psychological Association (APA)
Nakatani, Kensuke& Kato, Takaharu& Okada, Shinichiro& Matsumoto, Risa& Nishida, Kazuhiro& Komuro, Hiroyasu…[et al.]. 2016. Flare-Up Diverticulitis in the Terminal Ileum in Short Interval after Conservative Therapy: Report of a Case. Case Reports in Surgery،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102877
Modern Language Association (MLA)
Nakatani, Kensuke…[et al.]. Flare-Up Diverticulitis in the Terminal Ileum in Short Interval after Conservative Therapy: Report of a Case. Case Reports in Surgery No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1102877
American Medical Association (AMA)
Nakatani, Kensuke& Kato, Takaharu& Okada, Shinichiro& Matsumoto, Risa& Nishida, Kazuhiro& Komuro, Hiroyasu…[et al.]. Flare-Up Diverticulitis in the Terminal Ileum in Short Interval after Conservative Therapy: Report of a Case. Case Reports in Surgery. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102877
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102877