Diverticulitis in the sigmoid colon of a 9-year-old girl. Case report
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Abstract
Introduction: A true intestinal diverticulum is an extraluminal protrusion that includes all histological layers and is commonly congenital. Diverticulitis mainly affects elderly patients, especially those >60 years of age, and is very rare in pediatric patients.
Case report: A case of a 9-year-old female patient is reported who arrives at the emergency room with generalized abdominal pain, fever, general malaise, positive rebound sign and leukocytosis. The diagnosis of acute appendicitis is established, so he is scheduled for laparoscopy. During the transoperative period, debris was found in all sites and cavities with fibrin and the presence of multiple diverticula from the sigmoid to the splenic flexure, with retractile mesenteritis. The sigmoid was resected, a Hartman-type colostomy was added, and antibiotic therapy was added, with adequate evolution.
Conclusions: Diverticulitis in children is often confused with acute appendicitis, its most frequent presentation in children is cecal diverticulitis, which is associated with genetic alterations of the connective tissue such as cystic fibrosis, Marfan syndrome, Ehlers-Danlos syndrome and syndrome of Williams-Beuren.
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