IMPLEMENTATION OF ENHANCED RECOVERY AFTER SURGERY (ERAS) IN EMERGENCY SURGERY FOR PERFORATED DIVERTICULITIS: A CASE REPORT

Abstract

We shared a case of an iatrogenic large perforated diverticulitis occured in 59 years old female patient, that was originally found accidentally by scheduled colonoscopic procedure, and already taken endoscopic clips maneuver. Unfortunatelly, the perforation was still opened and later on caused massive pneumoperitoneum and pneumomediastinum, which was found using abdominal CT Scan. Immediately, exploratory laparatomy including sigmoid resection and primary anastomosis took place and the patient was observed carefully in the Surgical Intensive Care Unit using Enhanced Recovery After Surgery (ERAS) protocol approach. During the hospitalization, ERAS protocol approach was used to observe and monitor this patient, that helped the patient to fully recovered within ten days of hospitalization and there was no readmission at all. Carefull considerations should took place regarding specific case that happened, but we shared succesfull story of resection sigmoid with primary anastomosis combined with ERAS protocol approach for perforated diverticulitis with generalized peritonitis.