Laparoscopic repair of perforated cecal diverticulitis

We present a case of cecal diverticulitis in a 15-year old Romani- girl, who underwent laparoscopy because of clinical suspicion of acute appendicitis. Intraoperatively a perforated cecal diverticulum next to a normal, uninflammated appendix was seen. To avoid ileocecectomy on a child, we excised th...

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Bibliographic Details
Main Authors: K. Spacil (Author), J. Meyer (Author), M. Stehr (Author), M. Schäfer (Author)
Format: Book
Published: Elsevier, 2019-03-01T00:00:00Z.
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Summary:We present a case of cecal diverticulitis in a 15-year old Romani- girl, who underwent laparoscopy because of clinical suspicion of acute appendicitis. Intraoperatively a perforated cecal diverticulum next to a normal, uninflammated appendix was seen. To avoid ileocecectomy on a child, we excised the diverticulum and performed a laparoscopic suture repair. In addition an appendectomy was carried out. The patient recovered well and was discharged on the sixth post-operative day. This case report shows that laparoscopic diverticulectomy is a feasible alternative to a much more invasive open/laparoscopic ileocecectomy which carries significant long-term morbidity because of the loss of the valve of Bauhin. Keywords: Cecal diverticulitis, Laparoscopic repair, Diverticulectomy, Pediatric patient
Item Description:2213-5766
10.1016/j.epsc.2018.12.006