Аннотации:
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.
Описание:
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.
