Acheampong Derrick, Boateng Percy
Icahn School of Medicine at Mount Sinai, NY, NY.
J Surg Case Rep. 2020 Jun 22;2020(6):rjaa186. doi: 10.1093/jscr/rjaa186. eCollection 2020 Jun.
Diverticulitis, though a common gastrointestinal disease, is rare following open-heart surgery. There is insufficient data regarding its incidence and management post-cardiac surgery. Especially in patients with atypical presentation, diagnosis and management can be challenging. This case outlines one such atypical diverticulitis case in which a 57-year-old female patient developed perforated diverticulitis with pelvic abscess accumulation following left ventricular aneurysm (LVA) repair. Diagnosis, appropriate management and treatment approaches are discussed. Cardiac surgeons should consider the possibility of diverticulitis in patients reporting nonspecific abdominal pain following cardiac surgery to ensure early diagnosis and institution of appropriate treatment to prevent associated adverse outcomes.
憩室炎虽是一种常见的胃肠道疾病,但在心脏直视手术后却很罕见。关于其在心脏手术后的发病率及处理的数据不足。尤其是对于表现不典型的患者,诊断和处理可能具有挑战性。本病例概述了这样一例非典型憩室炎病例,一名57岁女性患者在左心室动脉瘤(LVA)修复术后发生了穿孔性憩室炎并伴有盆腔脓肿积聚。文中讨论了诊断、恰当的处理及治疗方法。心脏外科医生应考虑到心脏手术后报告非特异性腹痛患者发生憩室炎的可能性,以确保早期诊断并采取恰当治疗措施,预防相关不良后果。