Rare case of acute abdomen: Right colon perforation due to the colon diverticulitis

2018 ◽  
Vol 15 (3) ◽  
pp. 169
Author(s):  
Faruk Pehlivanli ◽  
Gökhan Karaca ◽  
Oktay Aydin ◽  
Sevilay Vural ◽  
Figen Coskun

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kil-yong Lee ◽  
Jaeim Lee ◽  
Youn Young Park ◽  
Seong Taek Oh

Abstract Background Routine colonoscopy is recommended to determine the coexistence of colon cancer after medical treatment for colon diverticulitis. However, in the case of uncomplicated diverticulitis diagnosed by computed tomography, the clinical relevance of routine follow-up colonoscopy has recently been debated. Yet, the role of follow-up colonoscopy for right colon diverticulitis, which tends to develop at a younger age than left colon diverticulitis, has not been specifically evaluated. Therefore, we aimed to evaluate the incidence of right colon cancer or colonic adenomatous polyps, detected by routine colonoscopy, after conservative management of acute uncomplicated right colon diverticulitis. Methods Patients with uncomplicated right colon diverticulitis (modified Hinchey stage Ia) diagnosed by computed tomography imaging, between 2011 and 2017, and who underwent follow-up colonoscopy surveillance after treatment were included. The primary outcome was the incidence of colon cancer, with the detection rate of adenoma being the secondary outcome. Information for analysis was retrieved retrospectively from patients’ medical records. Results The study group included 330 consecutive patients, with a mean age of 41.9 years, and 51.9% being men. For the primary outcome, the rate of colon cancer on follow-up colonoscopy was 0.3% (1/330 cases). The rate of adenoma detection was 20.9% (69/330 cases) and advanced adenoma (> 10 mm in diameter; or exhibiting a > 25% villous component or severe dysplasia), including colon cancer, was observed in 9 patients (2.7%). Conclusions In patients with acute uncomplicated right colonic diverticulitis, routine colonoscopy after conservative treatment may be necessary because although the colon cancer detection rate is low, it is possible to detect advanced colon adenoma.



2019 ◽  
Vol 6 (3) ◽  
Author(s):  
Giulia C. Preziosa ◽  
Giuseppe Pezzotta ◽  
Cesare Morzenti ◽  
Clarissa Valle ◽  
Alessandra Surace ◽  
...  




2006 ◽  
Vol 30 (10) ◽  
pp. 1929-1934 ◽  
Author(s):  
Horng-Ren Yang ◽  
Huai-Hsu Huang ◽  
Yu-Chun Wang ◽  
Chi-Hsun Hsieh ◽  
Ping-Kuei Chung ◽  
...  


2017 ◽  
Vol 2 (1) ◽  
pp. 135-138
Author(s):  
Serhat Doğan ◽  
Ebubekir Gündeş ◽  
Hüseyin Gülcan ◽  
Mehmet Barburoğlu ◽  
Onur Oral


Author(s):  
Ranjan Agrawal ◽  
Parbodh Kumar ◽  
Nitesh Mohan

ABSTRACT Ascaris lumbricoides is a common intestinal parasite found in humans prevalent in countries with low socioeconomic status. The disease can occur in all age groups but is more common in preschool-aged children. It causes significant medical, surgical, and social complications. Reported complications include small intestinal obstruction, volvulus, and intussusception. Obstruction of the intestinal tract by a mass of A. lumbricoides is one of the serious and lethal complications. We present herein a case of A. lumbricoides infestation in a 7-year-old girl, presenting as acute abdomen. Prompt surgical intervention saved the child. How to cite this article A grawal R, K umar P, M ohan N . Ascariasis presenting as Acute Abdomen: A Rare Case. Int J Adv Integ Med Sci 2016;1(2):75-78.



2012 ◽  
Vol 94 (8) ◽  
pp. e15-e17 ◽  
Author(s):  
IM Shapey ◽  
T Nasser ◽  
P Dickens ◽  
M Haldar ◽  
MH Solkar

Pneumoperitoneum is usually associated with gastrointestinal perforation or following surgical and endoscopic procedures. We report a rare case of spontaneously perforated pyometra presenting with generalised peritonitis and pneumoperitoneum. Perforation of the uterus is also unusual and often associated with the presence of an intrauterine device, a gravid uterus or malignancy. Our case illustrates the importance of clinical knowledge of acute and neoplastic gynaecological diseases, which are not uncommonly encountered by the general surgeon. Moreover, good appreciation of pelvic anatomy and close collaboration with gynaecology colleagues is essential as operative intervention is often required.



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