Small Bowel Diverticulosis and COVID-19: Awareness Is the Key: A Case Series and Review of the Literature.
Petros Ioannis BangeasNikolaos KonstantinidisTania ChrisopoulouDespoina KaratziaAlexandros GiakoustidisVasileios N PapadopoulosPublished in: Medicina (Kaunas, Lithuania) (2024)
Small bowel non-Meckelian diverticulosis is a rare condition with only a few published cases despite being described over 200 years ago. In the midst of the COVID-19 pandemic, studies suggested that many patients may experience gastrointestinal manifestations. Intestinal symptoms could worsen the inflammation and infection associated with small bowel diverticulitis. Here we present three cases: one with inflammation and rupture in a COVID-19 patient and another as an asymptomatic detection. The third case involved recurrence after the first laparoscopic lavage approach. Furthermore, we provide a mini-review of the literature to emphasize the importance of considering this entity in the differential diagnosis of an acute abdomen. In the majority of cases involving small bowel diverticula, conservative management is the preferred approach. However, when complications arise, surgical intervention, including enteroctomy and primary anastomosis, may be necessary to achieve optimal outcomes.
Keyphrases
- small bowel
- coronavirus disease
- sars cov
- oxidative stress
- end stage renal disease
- ejection fraction
- randomized controlled trial
- newly diagnosed
- chronic kidney disease
- liver failure
- prognostic factors
- robot assisted
- drug induced
- type diabetes
- depressive symptoms
- patient reported outcomes
- weight loss
- physical activity
- label free
- case control