9,603 results match your criteria Diverticulitis


Meckel's diverticulum causing acute intestinal obstruction: A case report and comprehensive review of the literature.

Ann Med Surg (Lond) 2022 Jun 7;78:103734. Epub 2022 May 7.

Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA.

Introduction: Meckel's diverticulum is a congenital anomaly that is often detected incidentally. When it presents symptomatically, it causes painless gastrointestinal bleeding. Nevertheless, in rare instances, it can cause acute intestinal obstruction, often obscuring the true clinical picture. Read More

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Evaluation of Complications and Effectiveness of Snodgraft Method on the Treatment of Distal Hypospadias or Midshaft.

World J Plast Surg 2022 Mar;11(1):38-43

Department of Surgery, Ahvaz Jundishapur, University of Medical Sciences, Ahvaz, Iran.

Objective: Hypospadias is one of the most common diseases of the male reproductive system. Considering the different treatment techniques for this anomaly and important complications such as fistula, meatal/neourethral stenosis, an attempt is made to use a method that has the best result and the least complication for treatment. The aim of this study was to evaluate the snodgraft method in repairing distal or midshaft hypospadias in terms of complications, beauty and effectiveness. Read More

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An international multi-institutional analysis of operative morbidity in patients undergoing elective diverticulitis surgery.

Rev Assoc Med Bras (1992) 2022 May;68(5):591-598

Massachusetts General Hospital, Colorectal Surgery Center, Department of Surgery - Boston (MA), United States.

Objective: We investigated surgical complications of elective surgery for diverticulitis in international multi-institution to identify a prediction model for potential opportunities of quality improvement.

Methods: We identified 1225 patients who underwent elective surgery for diverticulitis between January 2010 and January 2018. The data were obtained from the National Surgical Quality Improvement Program and the Turkish Diverticulitis Study Group Collaborative, retrospectively. Read More

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Abdominal Pain in a Patient With Giant Cell Arteritis.

Cureus 2022 Apr 14;14(4):e24149. Epub 2022 Apr 14.

Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, USA.

Giant cell arteritis (GCA) is a large vessel vasculitis seen in the elderly. It is primarily treated with corticosteroids, which are known to have a multitude of adverse effects, including predisposition to infection and intestinal diverticular perforation. We describe a unique case of a GCA patient with the subtle presentation of acute abdomen. Read More

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Acute necrotizing calculous cholecystitis after treatment with ceftriaxone in an elderly patient: a case report.

Surg Case Rep 2022 May 18;8(1):97. Epub 2022 May 18.

Department of Surgery, Doshinkai Tohyama Hospital, Minami-Shinmachi 17-22, Tsu, Mie, 514-0043, Japan.

Background: Ceftriaxone, a third-generation cephalosporin antibiotic with a long plasma half-life, is widely used to treat various infections. The use of ceftriaxone can sometimes induce biliary sludge or stone formation. Although most cases of ceftriaxone-induced pseudolithiasis are asymptomatic or mild and resolve with discontinuation of the drug, we experienced an elderly case of severe acute necrotizing calculous cholecystitis after administration of ceftriaxone. Read More

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Role of protective stoma after primary anastomosis for generalized peritonitis due to perforated diverticulitis-DIVERTI 2 (a prospective multicenter randomized trial): rationale and design (nct04604730).

BMC Surg 2022 May 16;22(1):191. Epub 2022 May 16.

Department of Digestive Surgery, Rouen University Hospital, Rouen, France.

Background: Traditionally, patients with peritonitis Hinchey III and IV due to perforated diverticulitis were treated with Hartmann's procedure. In the past decade, resection and primary anastomosis have gained popularity over Hartmann's procedure and recent guidelines recommend Hartmann's procedure in two situations only: critically ill patients and in selected patients with multiple comorbidity (at high risk of complications). The protective stoma (PS) is recommended after resection with primary anastomosis, however its interest has never been studied. Read More

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Ascending colon stenosis caused by repeated diverticulitis that clinically mimicked advanced colon cancer: A case report.

Int J Surg Case Rep 2022 May 12;95:107184. Epub 2022 May 12.

Department of Surgery, Atago Hospital, Kochi, Japan.

Introduction: We experienced a rare case of right-sided large bowl obstruction (LBO) of the colon caused by chronic diverticulitis, which was challenging to diagnose.

Presentation Of Case: A young male was admitted to our department with a fever, diarrhea, and right-sided lateral abdominal pain for several days. CT showed a thickened ascending colon wall with stenosis and adjacent retroperitoneal inflammation without marked diverticula. Read More

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Gastrointestinal Complications of COVID-19 Vaccines.

Cureus 2022 Apr 12;14(4):e24070. Epub 2022 Apr 12.

Hospital Medicine, Christus Spohn, Corpus Christi, USA.

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. Read More

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Conservative management of fish bone-induced large bowel perforation: Case report.

Int J Surg Case Rep 2022 May 4;95:107157. Epub 2022 May 4.

Breast and Endocrine Surgery Department, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Introduction: Fish bone ingestion is one of the common medical complaint. Most foreign bodies passed safely through gastrointestinal tract (GIT) without any complications. The clinical presentation of foreign body ingestion is similar to other conditions such as diverticulitis. Read More

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Thigh Abscess as an Uncommon Complication of Left-Sided Colonic Diverticulitis and the Pitfalls in Treatment: An Interesting Case Report.

Cureus 2022 Apr 7;14(4):e23927. Epub 2022 Apr 7.

General Surgery, Auckland City Hospital, Auckland, NZL.

Colonic diverticulitis is one of the common causes of surgical intervention in general surgical practice. In most cases, surgical intervention depends on the presence of a collection around the sigmoid colon, the feasibility of percutaneous drainage, and the patient's medical condition. The collection can occur in the thigh in rare cases due to a fistulous communication with the retroperitoneum and can track gravitationally along the psoas muscle into the thigh and leg without any discernible collection around the sigmoid colon or in the abdominal cavity. Read More

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Meckel's Diverticulitis in a Teenager With Unknown Intestinal Malrotation: A Case Report and Review of the Literature.

Cureus 2022 Apr 5;14(4):e23846. Epub 2022 Apr 5.

Surgery, Ippokrateio General Hospital, Thessaloniki, GRC.

The clinical presentation of congenital abnormalities in adult life is a rare condition since they usually make their appearance in early childhood. A combination of two different congenital deformities is even more infrequent, a fact that might complicate the differential diagnosis of acute abdomen. This is a case report of an inflamed Meckel's diverticulum in a 16-year-old male with intestinal malrotation presented in an acute setting, and a review of the literature. Read More

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Surgeons' Perspective of Decision Making in Recurrent Diverticulitis: A Qualitative Analysis.

Ann Surg Open 2022 Jun 4;3(2). Epub 2022 May 4.

Department of Urology, Vanderbilt University Medical Center, Nashville, TN.

Objective: This study employs qualitative methodology to assess surgeons' perspective on decision making in management of recurrent diverticulitis to improve patient-centered decision making.

Summary Background Data: The decision to pursue colectomy for patients with recurrent diverticulitis is nuanced. Strategies to enact broad acceptance of guidelines for surgery are hindered because of a knowledge gap in understanding surgeons' current attitudes and opinions. Read More

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Efficacy and Safety of a Strategy for Reviewing Intravenous Antibiotics for Hospitalized Japanese Patients with Uncomplicated Diverticulitis: A Single-center Observational Study.

Intern Med 2022 May 7. Epub 2022 May 7.

Department of Gastroenterology, Toyonaka Municipal Hospital, Japan.

Objective Treatment for uncomplicated diverticulitis (UD) is not well established. We evaluated the strategy of reviewing intravenous antibiotics for hospitalized Japanese patients with UD. Methods Treatment was based on the physician's choice until August 2018; the indications for hospitalization and treatment have been standardized since September 2018. Read More

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Multi-institutional Cohort Study of Elective Diverticulitis Surgery: a National Surgical Quality Improvement Program Database Analysis to Identify Predictors of Non-home Discharge Among Older Adults.

J Gastrointest Surg 2022 May 6. Epub 2022 May 6.

Mongan Institute Center for Aging and Serious Illness, Massachusetts General Hospital, Boston, MA, USA.

Background: Older adults often prioritize independence and time spent at home when making major treatment decisions. Identifying preoperative predictors of non-home discharge (i.e. Read More

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A Rare Presentation of Recurrent Diverticulitis in a Patient with Ulcerative Colitis.

Eur J Case Rep Intern Med 2022 5;9(4):003271. Epub 2022 Apr 5.

RWJ Barnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA.

Diverticulitis and ulcerative colitis (UC) are two separate colonic pathologies with different underlying mechanisms. Diverticulosis involves herniation of mucosal and submucosal tissue through muscular tissue in response to increased intraluminal pressure. In contrast, it is believed that the muscular tone in patients with UC is reduced due to chronic inflammatory changes. Read More

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Association of frailty with outcomes after elective colon resection for diverticular disease.

Surgery 2022 May 2. Epub 2022 May 2.

Cardiovascular Outcomes Research Laboratories, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA. Electronic address:

Background: Frailty has been associated with greater postoperative morbidity and mortality but its impact has not been investigated in patients with diverticulitis undergoing elective colon resection. Therefore, the present study examined the association of frailty with perioperative outcomes following elective colectomy for diverticular disease.

Methods: The 2017-2019 American College of Surgeons-National Surgical Quality Improvement Program data registry was queried to identify patients (aged ≥18 years) undergoing elective colon resection for diverticular disease. Read More

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Right-sided diverticulitis in a Western population.

Int J Colorectal Dis 2022 May 4. Epub 2022 May 4.

Department of General Surgery A, Meir Medical Center, Kfar Sava, Israel.

Background: While left-sided colonic diverticular disease is common in Western Caucasian populations, right-sided colonic disease (RCD) is rare. The present study aimed to determine the rate of RCD and to identify the symptoms, clinical features, treatment, and outcomes in a single medical center in Israel.

Methods: Data for this descriptive retrospective analysis were collected from the electronic medical records of all patients diagnosed with colonic diverticulitis from January 2014 to June 2019. Read More

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A rare simultaneous occurrence of appendiceal diverticulitis and non-perforated peptic ulcer mimicking abdominal peritonitis symptoms.

Clin Case Rep 2022 Apr 27;10(4):e05780. Epub 2022 Apr 27.

Department of Pathology and Laboratory Medicine Guilan University of Medical Science Rasht Iran.

Appendiceal diverticulitis is an infrequent disease that can mimic other diseases' symptoms or cause different symptoms because of its various complications. However, one of the most frequent complications of this disease is a perforation that can lead to other serious problems such as peritonitis. This complication can threaten a patient's health condition. Read More

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Impact of COVID-19 on CT-diagnosed acute appendicitis and diverticulitis: was there collateral damage?

Clin Radiol 2022 Apr 8. Epub 2022 Apr 8.

Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Aim: To evaluate the change in diagnosis rates, disease severity at presentation, and treatment of acute appendicitis and diverticulitis during the COVID-19 shutdown.

Materials And Methods: Following institutional review board approval, 6,002 CT examinations performed at five hospitals for suspected acute appendicitis and/or diverticulitis over the 12 weeks preceding and following the shutdown were reviewed retrospectively. Semi-automated language analysis (SALA) of the report classified 3,676 CT examinations as negative. Read More

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Rare cecum pathologies as a cause of acute abdomen in children.

Ulus Travma Acil Cerrahi Derg 2022 Mar;28(3):249-253

Department of Pediatric Surgery, Harran University Faculty of Medicine, Şanlıurfa-Turkey.

Background: We aimed to present cecum pathologies which are the cause of acute abdomen.

Methods: Between January 2015 and June 2019, patients that were operated with the diagnosis of acute abdomen and patients with the primary cecum pathologies were evaluated retrospectively.

Results: There were eight patients, five males and three females. Read More

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A rare cause of acute abdominal pain: Actinomyces infection of colon mimicking a malignant neoplasm due to intrauterine device.

Ulus Travma Acil Cerrahi Derg 2022 Apr;28(4):537-540

Department of General Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul-Turkey.

Actinomycosis is a rare, chronic granulomatous disease that is challenging to diagnose because the clinical symptoms and signs are nonspecific. Usage of intrauterine device (IUD) or being immunocompromised is facilitating factors. Clinical and radiological findings can mimic malignant neoplasm, inflammatory bowel disorder, or acute diverticulitis. Read More

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Nationwide Analysis of Hospital admissions Prior to Hartmann's Procedure for Acute Diverticulitis.

Am Surg 2022 Apr 28:31348221087378. Epub 2022 Apr 28.

Department of Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA.

Introduction: Diverticular disease is one of the most common gastrointestinal diseases that require hospital admission. This study aims to identify trends in prior hospital admissions for patients that ultimately require a Hartmann's procedure for complicated diverticulitis.

Methods: The Nationwide Readmissions Database for 2010-2014 was queried for all patients aged 18 years or older admitted with an ICD-9 code for colonic diverticulitis and end colostomy creation. Read More

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Appendiceal Diverticulitis Presenting as Acute Appendicitis and Diagnosed After Appendectomy.

Cureus 2022 Mar 10;14(3):e23050. Epub 2022 Mar 10.

General Surgery, Marmara University School of Medicine, Istanbul, TUR.

Introduction Diverticular disease of the appendix (DDA) is a rare appendiceal pathology. It is usually present similar to acute appendicitis. Because of its rarity, the DDA is poorly comprehended. Read More

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Are Ulcerative Colitis and Diverticulitis Connected by the Same Hub?

Inflamm Bowel Dis 2022 Apr 23. Epub 2022 Apr 23.

Professor of Medicine, Medical Faculty of Medicine, University of Porto, Porto, Portugal.

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Ulcerative Colitis and Diverticulitis Are Possibly Connected to the Same Hub.

Inflamm Bowel Dis 2022 Apr 23. Epub 2022 Apr 23.

Department of Gastroenterology, McMaster University, Hamilton, Ontario, Canada.

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Evaluation of a treatment pathway for the management of uncomplicated diverticulitis.

J Visc Surg 2022 Apr 19. Epub 2022 Apr 19.

Department of digestive surgery, centre hospitalier départemental de Vendée, 85000 La-Roche-sur-Yon, France.

Introduction: Recent clinical practice recommendations have radically modified the management of colonic diverticulitis. The goal of our study was to evaluate a treatment pathway for uncomplicated diverticulitis and to analyze the outcome (patient compliance, treatment failure and complications).

Patients And Methods: All patients who presented to the emergency department with the diagnosis of uncomplicated diverticulitis were prospectively included in this study. Read More

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Perforated Duodenal Diverticulitis: A Case Report of a Rare Surgical Entity Treated by Roux-en-Y Deriving Intestinal Patch.

Cureus 2022 Mar 15;14(3):e23167. Epub 2022 Mar 15.

Division of Visceral Surgery, Department of Surgery, Sion Cantonal Hospital, Sion, CHE.

Perforated diverticulitis is a rare but serious complication associated with a significant mortality rate. Although many cases of conservative treatment have been reported, surgery remains the mainstay for perforated duodenal diverticulitis. We report a rare case of a 55-year-old female who presented with epigastric pain without fever. Read More

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A vastagbél-diverticulosis veszélyei és kezelése.

Orv Hetil 2022 Apr 17;163(16):614-623. Epub 2022 Apr 17.

1 Debreceni Egyetem, Általános Orvostudományi Kar, Klinikai Központ, Gasztroenterológiai Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarország.

Összefoglaló. A vastagbél-diverticulosis előfordulási gyakorisága világszerte növekszik, aminek hátterében elsősorban diétás és életmódbeli változások állnak. Az esetek jelentős hányadában a vastagbél-diverticulosis semmiféle panaszt nem okoz, véletlenül fedezik fel, így kezelést sem igényel. Read More

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Emergency General Surgery Transfer and Effect on Inpatient Mortality and Post-Discharge Emergency Department Visits: A Propensity Score Matched Analysis.

J Am Coll Surg 2022 May;234(5):737-746

From the Department of Surgery, Carolinas Medical Center, Charlotte, NC (Watson, Schiffern, Ross, Matthews, Reinke).

Background: Patients undergoing emergency general surgery (EGS) and interhospital transfer (IHT) have increased mortality. Prior analyses of IHT have been limited by the inability to track post-discharge outcomes or have not included nonoperative EGS. We evaluated outcomes for IHT to our tertiary care facility compared with direct admission through the emergency department. Read More

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