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Acute diverticulitis

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https://www.readbyqxmd.com/read/29732139/colovaginal-and-colo-ovarian-fistula-at-a-patient-with-asymptomatic-diverticular-disease
#1
Athanasios Syllaios, Antonios Koutras, Prokopis A Zotos, Sofia Koura, Pavlos Machairoudias, Anastasia Papakonstantinou, Nikolaos Bourganos, Aristotelis Liakos
Colovaginal and colo-ovarian fistulas are rare entities that could be attributed to diverticular disease after an episode of acute diverticulitis. Τhey could initially be manifested with symptoms that lead patients to the gynecologist. Gynecologists should consider them in the differential diagnosis, especially after recurrent episodes of sinusitis. We report the case of a 51-year-old woman with a colovaginal and a colo-ovarian fistula due to subclinical diverticular disease, which should be involved in the differential diagnosis in those complicated fistulas, even if the patient had never before a clinical episode of acute diverticulitis or known diverticular disease, and a successful surgical approach...
April 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29730945/-diverticulosis-and-diverticulitis-of-the-vermiform-appendix-report-of-a-case-and-review-of-the-literature
#2
Tamás Vass, Attila Zaránd, Dániel Horányi, László Harsányi
Diverticulitis of the vermiform appendix is a rare disease with clinical features often similar to conventional acute appendicitis. The importance of appendiceal diverticulosis is the fact that it can lead to an early and a higher incidence of perforation and therefore a higher mortality rate, in contrast to acute appendicitis alone. In this study we present the clinicopathology, diagnosis and therapy of the disease with a review of the literature. A 65-year-old woman presented to the emergency department with a 48-hour history of intermittent pain in the right iliac fossa...
May 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29712578/portomesenteric-venous-gas-secondary-to-acute-diverticulitis-colovenous-fistula
#3
Tari-Ann Erica Yates, Alphonse Pasipanodya, Sandeep Anantha Sathyanarayana
No abstract text is available yet for this article.
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29710265/acute-colonic-diverticulitis
#4
Sophia M Swanson, Lisa L Strate
Acute colonic diverticulitis is a gastrointestinal condition frequently encountered by primary care practitioners, hospitalists, surgeons, and gastroenterologists. Clinical presentation ranges from mild abdominal pain to peritonitis with sepsis. It can often be diagnosed on the basis of clinical features alone, but imaging is necessary in more severe presentations to rule out such complications as abscess and perforation. Treatment depends on the severity of the presentation, presence of complications, and underlying comorbid conditions...
May 1, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29700480/long-term-effects-of-omitting-antibiotics-in-uncomplicated-acute-diverticulitis
#5
S T van Dijk, L Daniels, Ç Ünlü, N de Korte, S van Dieren, H B Stockmann, B C Vrouenraets, E C Consten, J A van der Hoeven, Q A Eijsbouts, I F Faneyte, W A Bemelman, M G Dijkgraaf, M A Boermeester
BACKGROUND: Traditionally uncomplicated acute diverticulitis was routinely treated with antibiotics, although evidence for this strategy was lacking. Recently, two randomized clinical trials (AVOD trial and DIABOLO trial) published short-term results of omitting antibiotics compared to routine antibiotic treatment. Both showed no significant differences regarding recovery from the initial episode, as well as rates of complicated or recurrent diverticulitis and sigmoid resection. However, both studies showed a trend of higher rates of sigmoid resection in the observational groups...
April 27, 2018: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/29695030/gangrenous-giant-meckel-s-diverticulitis-masquerading-acute-appendicitis-a-surgical-conundrum
#6
Wei Woon Teng, Boon Tat Yeap, Nornazirah Azizan, Firdaus Hayati, Jitt Aun Chuah
No abstract text is available yet for this article.
April 25, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29683483/randomized-clinical-trial-of-elective-resection-versus-observation-in-diverticulitis-with-extraluminal-air-or-abscess-initially-managed-conservatively
#7
K You, R Bendl, C Taut, R Sullivan, M Gachabayov, R Bergamaschi
BACKGROUND: The aim of this RCT was to determine whether elective resection following successful non-operative management of a first episode of acute sigmoid diverticulitis complicated by extraluminal air with or without abscess is superior to observation in terms of recurrence rates. METHODS: This was a single-centre, sequential design RCT. Patients were randomized to elective surgery or observation following non-operative management and colonoscopy. Non-operative management included nil by mouth, intravenous fluids, intravenous antibiotics, CT with intravenous contrast on arrival at hospital, and repeat CT with intravenous and rectal contrast on day 3 in hospital...
April 23, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29679152/treatment-of-acute-uncomplicated-diverticulitis-without-antibiotics-risk-factors-for-treatment-failure
#8
H E Bolkenstein, W A Draaisma, Bjm van de Wall, Ecj Consten, Iamj Broeders
PURPOSE: Conservative treatment strategy without antibiotics in patients with uncomplicated diverticulitis (UD) has proven to be safe. The aim of the current study is to assess the clinical course of UD patients who were initially treated without antibiotics and to identify risk factors for treatment failure. METHODS: A retrospective cohort study was performed including all patients with a CT-proven episode of UD (defined as modified Hinchey 1A). Only non-immunocompromised patients who presented without signs of sepsis were included...
April 21, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29672283/current-controversies-in-the-management-of-diverticulitis-a-review
#9
Deirdre M Nally, Dara O Kavanagh
BACKGROUND: Symptomatic diverticular disease is challenging for patients, clinicians and health services. The prevalence increases with age and BMI and as such, the burden of this disease is set to increase with higher rates of acute presentations already documented. The natural history of recurrent episodes, complications and symptom progression is not fully understood. Furthermore, medical and surgical management strategies are under constant appraisal, debate and evolution. METHODS: A review of the contemporary literature was performed to examine the emerging trend towards conservative treatment...
April 19, 2018: Digestive Surgery
https://www.readbyqxmd.com/read/29663316/two-year-results-of-the-randomized-clinical-trial-dilala-comparing-laparoscopic-lavage-with-resection-as-treatment-for-perforated-diverticulitis
#10
A Kohl, J Rosenberg, D Bock, T Bisgaard, S Skullman, A Thornell, J Gehrman, E Angenete, E Haglind
BACKGROUND: Traditionally, perforated diverticulitis with purulent peritonitis was treated with resection and colostomy (Hartmann's procedure), with inherent complications and risk of a permanent stoma. The DILALA (DIverticulitis - LAparoscopic LAvage versus resection (Hartmann's procedure) for acute diverticulitis with peritonitis) and other randomized trials found laparoscopic lavage to be a feasible and safe alternative. The medium-term follow-up results of DILALA are reported here...
April 16, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29663068/prevalence-of-colorectal-cancer-in-acute-uncomplicated-diverticulitis-and-the-role-of-the-interval-colonoscopy
#11
Yock Teck Nicholas Soh, Kai Ann Daryl Chia, Nan Zun Teo, Jian Ming Calvin Ong, Ramesh Wijaya
PURPOSE: Although computed tomography (CT) is the imaging modality of choice for diagnosing colonic diverticulitis today, there remains a risk of colorectal cancer mimicking diverticulitis due to overlapping imaging features. Current practice guidelines recommend interval colonoscopy after diverticulitis to exclude occult malignancy. Some authors have suggested that this may be unnecessary in patients with uncomplicated diverticulitis. The aim of our study was to examine the prevalence of occult colorectal cancer in patients with CT-proven acute uncomplicated diverticulitis in an Asian population...
April 16, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29630003/use-of-primary-anastomosis-with-diverting-ileostomy-in-patients-with-acute-diverticulitis-requiring-urgent-operative-intervention
#12
Christy E Cauley, Ruchin Patel, Liliana Bordeianou
BACKGROUND: Previous studies suggest that urgent colectomy and primary anastomosis with diversion is safe for perforated diverticulitis. Current guidelines support this approach. OBJECTIVE: The purpose of this study was to describe the use of urgent or emergent primary anastomosis with diversion in diverticulitis before the 2014 American Society of Colon and Rectal Surgeons guidelines and compare national outcomes of primary anastomosis with diversion to the Hartmann procedure...
May 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29629799/acute-jejunoileal-diverticulitis-multicenter-descriptive-study-of-33-patients
#13
Paul Lebert, Ingrid Millet, Olivier Ernst, Isabelle Boulay-Coletta, Lucie Corno, Patrice Taourel, Marc Zins
OBJECTIVE: Acute jejunoileal diverticulitis is a very rare and potentially serious disease affecting mostly elderly patients. The diagnosis is based on imaging but remains underrecognized. The purpose of this study is to describe the clinical and CT features and the outcomes of patients with acute jejunoileal diverticulitis. MATERIALS AND METHODS: Cases of acute jejunoileal diverticulitis managed at three French hospitals November 2005 through January 2015 were identified retrospectively...
April 9, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29623187/moxifloxacin-induced-tinnitus-in-an-older-adult
#14
Amber Onoh, Sunny A Linnebur, Danielle R Fixen
An increased risk of bacterial resistance toward fluoroquinolones and the increased risk of disabling and serious adverse effects prompted the US Food and Drug Administration to recommend limiting fluoroquinolone use to the treatment of community-acquired pneumonia, skin and skin-structure infections, bacterial sinusitis, plague, chronic bronchitis exacerbations, and complicated intra-abdominal infections. We report a case of moxifloxacin-induced tinnitus in an older adult prescribed oral moxifloxacin 400 mg for 5 days for the treatment of acute diverticulitis, due to allergies to nonfluoroquinolone preferred agents...
April 2018: Therapeutic Advances in Drug Safety
https://www.readbyqxmd.com/read/29623099/treatment-of-diverticular-disease-an-update-on-latest-evidence-and-clinical-implications
#15
REVIEW
Marilia Carabotti, Bruno Annibale
Background: Diverticular disease (DD) is a common condition, especially in Western countries. In about 80% of patients, colonic diverticula remain asymptomatic (diverticulosis), while approximately 20% of patients may develop abdominal symptoms (symptomatic uncomplicated diverticular disease, SUDD) and, eventually complications as acute diverticulitis (AD). The management of this condition has been improved, and in the last five years European countries and the USA have published guidelines and recommendations...
2018: Drugs in Context
https://www.readbyqxmd.com/read/29608422/a-systematic-review-of-pericolic-extraluminal-air-in-left-sided-acute-colonic-diverticulitis
#16
Stefan T van Dijk, Sabrina A N Doelare, Anna A W van Geloven, Marja A Boermeester
BACKGROUND: Although approximately 15% of all patients with acute colonic diverticulitis have pericolic extraluminal air found on computed tomography (CT), studies on the natural course and treatment of these patients are scarce. It is not clear whether these patients behave as mild uncomplicated diverticulitis or as severe diverticulitis needing more aggressive treatment. Consequently, there is no consensus about the treatment, guidelines do not discuss this group of patients, and physicians treat these patients based on their own experiences and opinion...
April 2, 2018: Surgical Infections
https://www.readbyqxmd.com/read/29555112/physicians-understanding-of-ct-probabilities-in-ed-patients-with-acute-abdominal-pain
#17
William F Paolo, Rhonaldo Silaban, Long Nguyen, Susan Wojcik, William Grant
OBJECTIVE: Computerized tomography (CT) is often employed to diagnose or rule out certain suspected abdominal pathologies. The aim of this study is to compare emergency physicians' estimated post-test disease probabilities to the probabilities obtained for similar diagnostic tests as reported in the literature. METHODS: Physicians were asked to estimate pre and posttest probabilities before and after CT scan results in patients with nontraumatic abdominal and pelvic pain...
February 27, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29554857/aortic-graft-infection-secondary-to-iatrogenic-transcolonic-graft-malposition
#18
Jacqueline J Blank, Abby E Rothstein, Cheong Jun Lee, Michael J Malinowski, Brian D Lewis, Timothy J Ridolfi, Mary F Otterson
Aortic graft infections are a rare but devastating complication of aortic revascularization. Often infections occur due to contamination at the time of surgery. Iatrogenic misplacement of the limbs of an aortobifemoral graft is exceedingly rare, and principles of evaluation and treatment are not well defined. We report 2 cases of aortobifemoral bypass graft malposition through the colon. CASE REPORT: Case 1 is a 54-year-old male who underwent aortobifemoral bypass grafting for acute limb ischemia...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29545957/refractory-abdominal-pain-in-a-patient-with-chronic-lymphocytic-leukemia-be-wary-of-acquired-angioedema-due-to-c1-esterase-inhibitor-deficiency
#19
Abdullateef Abdulkareem, Ryan S D'Souza, Joshua Mundorff, Pragya Shrestha, Oluwaseun Shogbesan, Anthony Donato
Acquired angioedema due to C1 inhibitor deficiency (C1INH-AAE) is a rare and potentially fatal syndrome of bradykinin-mediated angioedema characterized by episodes of angioedema without urticaria. It typically manifests with nonpitting edema of the skin and edema in the gastrointestinal (GI) tract mucosa or upper airway. Edema of the upper airway and tongue may lead to life-threatening asphyxiation. C1INH-AAE is typically under-diagnosed because of its rarity and its propensity to mimic more common abdominal conditions and allergic reactions...
2018: Case Reports in Hematology
https://www.readbyqxmd.com/read/29543100/outpatient-management-of-acute-uncomplicated-diverticulitis-results-in-health-care-cost-savings
#20
Daniel Isacson, Karl Andreasson, Maziar Nikberg, Kenneth Smedh, Abbas Chabok
PURPOSE: Outpatient management without antibiotics has been shown to be safe for selected patients diagnosed with acute uncomplicated diverticulitis (AUD). The aim of this study was to evaluate the impact on admissions, complication rates and health-care costs of the policy of outpatient treatment without using antibiotics. METHODS: The medical records of all patients diagnosed with AUD in the year before (2011) and after (2014) the implementation of outpatient management without antibiotics in Västmanland County were reviewed...
April 2018: Scandinavian Journal of Gastroenterology
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