Diverticulitis aguda de intestino delgado en un paciente con enfermedad de Crohn: Report of one case

• Macarena Hevia ^[2] ; Rodrigo Quera ^[1] ; Leonardo Soto ^[1] ; Tomás Regueira ^[1] ; Andrés O'Brien ^[1] ; Andrés Larach ^[1] ; Udo Kronberg ^[1]
  1. [1] Clínica Las Condes

     Clínica Las Condes

     Santiago, Chile

     
  2. [2] Hospital Barros Luco Trudeau Servicio de Gastroenterología y Endoscopía
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 145, Nº. 3, 2017, págs. 397-401
• Idioma: español
• Títulos paralelos:
  • Acute small bowel diverticulitis in a patient with crohn’s disease
• Enlaces
  • Texto completo
• Resumen

  • Diverticular disease of the small intestine is rare, especially when it is located in the jejunum. It is generally asymptomatic, but in some patients it may have complications such as acute diverticulitis with peritonitis, gastrointestinal bleeding or obstruction. In such cases, the recommended treatment is surgery. We report a 77-year-old patient with ileal Crohn’s disease with a long-standing inflammatory phenotype, who developed acute diverticulitis of the jejunum presenting a severe septic shock and secondary multiple-organ failure. It resolved with medical treatment and prolonged antibiotic therapy.