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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

Int J Surg Case Rep 2022 Jun 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

Int J Colorectal Dis 2022 Jun 4;37(6):1251-1256. 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

Sci Rep 2022 03 16;12(1):4559. Epub 2022 Mar 16.

Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University, No.7, Chung-Shan South Road, Taipei, 100, Taiwan.

Evidence regarding the recurrence of diverticulitis is limited in Asian patients. This study aims to investigate recurrence rates and identify predictive factors for the recurrence of diverticulitis following successful nonoperative treatment in Asian patients. A multicenter, retrospective cohort study was conducted between 2012 and 2018. Read More

J Visc Surg 2022 04 3;159(2):175-176. Epub 2022 Mar 3.

Aix Marseille Univ, AP-HM, Department of Digestive Surgery, CHU Timone, Marseille, France. Electronic address:

A giant colonic diverticulum is a rare entity, generally located into the sigmoid colon. We report the case of a giant colonic diverticulum in an young women which was intraoperatively diagnosed, during exploratory laparoscopy, in spite of normal colonoscopy. Read More

Dtsch Med Wochenschr 2022 Jan 31;147(3):119-131. Epub 2022 Jan 31.

Diverticulosis, Diverticular Disease, and Diverticulitis, comprising different entities, pose increasing burdens for health care systems. The introduction of new scientific knowledge into daily clinical work is challenging for attending physicians. This review is related to case presentations and currently debated questions are discussed such as definitions: Which entities are meant by the term "Diverticular Disease", is "uncomplicated symptomatic Diverticular Disease"(SUDD) reality? To classify diverticula related diseases targeted diagnosis including imaging is necessary. Read More

World J Gastrointest Surg 2021 Dec;13(12):1721-1735

Complex Unit of General, Minimally Invasive and Emergency Surgery, Sesto San Giovanni Hospital, Sesto San Giovanni 20099, Italy.

Background: Although the treatment guidelines for left sided diverticulitis are clear, the management of right colonic diverticulitis is not well established. This disease can no longer be ignored due to significant spread throughout Asia.

Aim: To analyse epidemiology, diagnosis and treatment of right-sided diverticulitis in western countries. Read More

Eur Rev Med Pharmacol Sci 2022 Jan;26(1):59-63

Department of Internal Medicine, Hisar Intercontinental Hospital, Istanbul, Turkey.

Objective: Primary epiploic appendagitis (PEA) is a rare cause of abdominal pain revealed by torsion of colonic structures called epiploic appendices. In this paper, we present our clinical data and experience regarding this rare condition that may be confused with many diseases, such as acute appendicitis, diverticulitis, salphingitis, renal colic that may require emergency surgery.

Materials And Methods: A total of 39 consecutive patients diagnosed as PEA confirmed by abdominal computed tomography with a clinical course. Read More

Cureus 2021 Dec 7;13(12):e20233. Epub 2021 Dec 7.

General Surgery, West Suburban Medical Center, Chicago, USA.

Small bowel obstruction (SBO), of both partial and complete types, is a condition predominantly caused by intra-abdominal adhesions and hernias. However, a known but very uncommon cause of SBO is malignancies, which are more complicated than those caused by adhesions and hernias, and associated with poorer prognoses; of these, small bowel adenocarcinoma is an even rarer etiology of SBO. The majority of SBO cases that are treated have resolution of symptoms and do not have recurrence/persistence of the condition; however, reports suggest that approximately one-fifth of SBO cases that are treated will result in recurrence/persistence of SBO requiring repeat admission. Read More

Radiol Case Rep 2022 Mar 28;17(3):744-747. Epub 2021 Dec 28.

Department of Interventional Radiology, Ascension St. Vincent's Hospital, Jacksonville, FL, USA.

This case report describes a 56-year-old female who presented to the emergency department with diffuse facial and bilateral upper extremity swelling. The patient has a past medical history of Superior vena cava (SVC) syndrome secondary to a clot around her port-a-cath, adenocarcinoma of the lungs status post chemotherapy and radiation, hyperlipidemia, rheumatoid arthritis, diverticulitis status post colon resection, and hypothyroidism. Imaging confirmed the presence of a thrombus obstructing the SVC, likely due to her hypercoagulable state. Read More

Cureus 2021 Nov 20;13(11):e19767. Epub 2021 Nov 20.

General Surgery, West Suburban Medical Center, Oak Park, USA.

We present a case in which a 55-year-old male with a past medical history of systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) presented with sharp, worsening right-sided abdominal pain radiating across the entire abdomen after eating peanuts. Computed tomography (CT) imaging showed evidence of acute sigmoid diverticulitis complicated by a walled-off perforation. The patient's past medical history suggested previous recurrent episodes of diverticulitis. Read More

BMJ Case Rep 2021 Nov 30;14(11). Epub 2021 Nov 30.

Department of General Surgery, Royal Berkshire NHS Foundation Trust, Reading, UK.

A 74-year-old woman presents with a 7-day history of increasing lower abdominal pains and reduced bowel movements; resulting in absolute constipation.Twenty-four hours prior to admission she also had symptoms of nauseous and significant abdominal distention. Her past medical history included; diverticulitis, type 2 diabetes, hypercholesterolemia, an ultrasound scan in 2005 confirming gallstones, but no previous abdominal surgery. Read More

Ann Coloproctol 2021 11 24. Epub 2021 Nov 24.

General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina.

Purpose: In the West, diverticular disease is located mainly in the left colon. However, it can also present in the right colon, with an incidence of 1%-2% in Caucasians. The purpose of this study was to describe our experience in right-sided acute diverticulitis (RD). Read More

Clin Imaging 2022 Jan 2;81:150-156. Epub 2021 Nov 2.

Department of Radiology, University of California-San Diego Medical Center, 200 W. Arbor Drive, San Diego, CA 92103, USA. Electronic address:

Diverticulosis of the colon is a gradually progressive disease that usually starts in early adulthood and increases with advancing age in its anatomical extent and the size of diverticula. It is important to recognize the initial stages of diverticular development in young patients in order to properly diagnose and manage the potential complications of this very common intestinal disorder. This article presents the pathological and radiological features of early diverticular formation, when the mucosal outpouchings are very small and contained within the colonic wall as distinct intramural lesions. Read More

Ann R Coll Surg Engl 2021 Nov;103(10):777-778

University of Milan, Italy.

Clin J Gastroenterol 2022 Feb 29;15(1):157-163. Epub 2021 Oct 29.

Department of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.

An 86-year-old woman presented with a history of endoscopic papillary sphincterotomy for bile duct stones and diverticulitis. The patient was admitted as an emergency case of acute cholangitis due to choledocholithiasis, underwent endoscopic bile duct stenting, and was discharged with a plan for endoscopic lithotripsy. One month later, the patient was readmitted owing to abdominal pain. Read More

Cureus 2021 Sep 15;13(9):e17983. Epub 2021 Sep 15.

Internal Medicine, Medical Center of Trinity, Trinity, USA.

Diverticular disease is a common condition responsible for significant costs to the healthcare system in the Western world. It ranges from asymptomatic diverticulosis to complicated diverticulitis. Here, we present a unique case of recurrent, complicated diverticulitis in a 62-year-old Caucasian male. Read More

ANZ J Surg 2022 05 15;92(5):1277-1278. Epub 2021 Oct 15.

Department of Radiology, Royal Melbourne Hospital, Parkville, Victoria, Australia.

ANZ J Surg 2022 05 15;92(5):1257-1258. Epub 2021 Oct 15.

Department of Colorectal Surgery, Liverpool Hospital, Sydney, New South Wales, Australia.

Colorectal Dis 2021 11 3;23(11):3036-3037. Epub 2021 Sep 3.

Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.

J Pediatr Surg Case Rep 2021 Sep 2;72. Epub 2021 Jun 2.

Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Diverticulitis in the pediatric population is a very rare cause of abdominal pain. When present in the cecum or ascending colon, it is often incorrectly diagnosed preoperatively as acute appendicitis. This is especially true in Western countries where right-sided diverticulitis is less common. Read More

Dis Colon Rectum 2021 09;64(9):1112-1119

Division of Colon and Rectal Surgery, Jewish General Hospital, Montreal, Quebec, Canada.

Background: Persistent (or ongoing) diverticulitis is a well-recognized outcome after treatment for acute sigmoid diverticulitis; however, its definition, incidence, and risk factors, as well as its long-term implications, remain poorly described.

Objective: The purpose of this study was to assess the incidence, risk factors, and long-term outcomes of persistent diverticulitis.

Design: This was a retrospective cohort study. Read More

Medicina (Kaunas) 2021 Jul 2;57(7). Epub 2021 Jul 2.

Faculty of Medicine, Bar-Ilan University, Safed 1311502, Israel.

Colonoscopy following an episode of acute diverticulitis is currently recommended to rule out underlying colon cancer. However, a number of studies have debated this recommendation. We aimed to explore whether patients with colonic diverticulosis who experienced an episode of acute diverticulitis had higher prevalence colonic pathologies, essentially colonic adenomas and colorectal carcinoma (CRC) on a follow-up colonoscopy. Read More

Surgery 2021 12 2;170(6):1855. Epub 2021 Jul 2.

Mayo Clinic, Rochester, MN. Electronic address:

ANZ J Surg 2021 10 14;91(10):2110-2114. Epub 2021 Jun 14.

Department of General Surgery, Christchurch Hospital, Christchurch, New Zealand.

Background: Once considered to be a congenital condition, the epidemiology of right-sided colonic diverticulosis (RCD) is evolving. Acute diverticulitis (AD) is a complication of RCD which is frequently misdiagnosed as appendicitis, resulting in unnecessary surgery, as there is strong evidence supporting medical management for right-sided AD. In general, the incidence of AD correlates with the prevalence of RCD, which shows marked geographic variation. Read More

Surg Endosc 2022 05 10;36(5):2949-2953. Epub 2021 Jun 10.

Dept. General Surgery, Caboolture Hospital, 97/120 McKean Street, Caboolture, QLD, 4510, Australia.

Background: The incidence of colonic diverticulitis is increasing. In Australia the majority of diverticulitis occurs in the left colon and patients typically undergo colonoscopy following an attack. At present debate exists regarding the utility of this costly procedure and a flexible sigmoidoscopy has been proposed as a cheaper, less invasive alternative. Read More

Dis Colon Rectum 2021 09;64(9):1041-1044

Division of General Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.

Case Summary: A 46-year-old man with no significant medical or surgical history presented to the emergency department with a 1-week history of worsening constipation, abdominal distension, nausea, and nonbloody, nonbilious emesis. Workup included a CT scan that was notable for a 5.3 × 3. Read More

Medicine (Baltimore) 2021 May;100(21):e26085

Department of General and Gastroenterological Surgery.

Rationale: As the world's population ages, the number of surgical cases of colovesical fistulas secondary to colon diverticulitis is also expected to increase. The key issue while performing laparoscopic surgery for these fistulas is the avoidance of iatrogenic ureteral injury. There are no reports of Near-infrared Ray Catheter being used in surgery for diverticulitis, which is one of the diseases with the highest risk of ureteral injury. Read More

Acta Biomed 2021 04 30;92(S1):e2021154. Epub 2021 Apr 30.

Emergency Surgery Unit, Parma University Hospital.

We report a peculiar case of jejunal diverticulitis in 54-year-old female. Since hospital admission, a colonic diverticulitis was suspected. CT scan of the abdomen showed multiple fluid collections with free intraperitoneal extraluminal air, suggesting bowel perforation. Read More

Clin Imaging 2021 Nov 29;79:133-135. Epub 2021 Apr 29.

2160 S 1st Ave, Maywood, IL 60153, Department of Radiology c/o Linda Schomer, United States of America. Electronic address:

Colonoscopy is the most sensitive and specific test for detecting colon cancer and is a common procedure performed in over 19 million people annually in the United States as of 2017. Though the incidence of complications from colonoscopy is low, there are several important complications that may require surgical intervention including bowel perforation, bleeding, splenic injury, and diverticulitis. Post-polypectomy coagulation syndrome (PPCS) is an uncommon complication of colonoscopy however, clinical presentation mimics bowel perforation and the differentiation between the two is vital as the management differs. Read More