Ostosh Andrew C, Saleh Adeeb, Boehm Kevin M
Michigan State University; Central Michigan University.
St Mary Mercy Livonia; Michigan State University.
Spartan Med Res J. 2018 Sep 26;3(2):6979. doi: 10.51894/001c.6979.
Diverticulitis is an inflammation of an out pouching of the lower gastrointestinal tract, particularly in the large intestine. Although the condition is taught to medical students as typically occurring in the left lower quadrant of the abdomen, right-sided and transverse forms diverticulitis can occur. Uncomplicated, e.g., non-perforated, diverticulitis is usually treated with antibiotics. Complicated, e.g. perforated, is usually treated with surgery. The purpose of this case report is to present an atypical case of perforated diverticulitis and review current recommendations for this condition. This was a case of transverse diverticulitis in a man in his late 40's who recovered with non-operative treatment. The widespread use of computerized tomography (CT) scans makes diagnosing diverticular disease relatively simple, but treatment is evolving. The case summarized here shows that less invasive measures can be used in treating both complicated and uncomplicated diverticular disease. After an uncomplicated in-patient admission for intravenous antibiotics, the patient was discharged in stable condition with a prescription for oral antibiotics and clinic follow-up. Classic medical school teaching concerning treatments for complicated and uncomplicated forms of diverticulitis have been updated but require further research testing.
憩室炎是下消化道（尤其是大肠）的憩室发生的炎症。尽管在医学院校教学中，这种病症通常被认为发生在腹部左下腹，但右侧和横结肠型憩室炎也可能出现。非复杂性憩室炎，例如未穿孔的憩室炎，通常用抗生素治疗。复杂性憩室炎，例如穿孔性憩室炎，通常采用手术治疗。本病例报告的目的是呈现一例穿孔性憩室炎的非典型病例，并回顾针对这种病症的当前建议。这是一例发生在一名40多岁男性身上的横结肠憩室炎病例，该患者通过非手术治疗康复。计算机断层扫描（CT）的广泛应用使得憩室病的诊断相对简单，但治疗方法仍在不断发展。此处总结的病例表明，在治疗复杂性和非复杂性憩室病时都可以采用侵入性较小的措施。在因静脉注射抗生素而进行的一次非复杂性住院治疗后，患者病情稳定出院，开具了口服抗生素处方并安排了门诊随访。关于复杂性和非复杂性憩室炎治疗的经典医学院校教学内容已经更新，但仍需进一步的研究验证。
