Diverticular disease in a pediatric patient with Crohn’s disease mimicking a perforated post-appendectomy appendiceal stump

Author:

de Nanassy Joseph1,Mack David2,Bettolli Marcos3,Sergi Consolato M1ORCID

Affiliation:

1. Department of Pathology , Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada

2. Department of Pediatric Gastroenterology , Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada

3. Department of Surgery , Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada

Abstract

Abstract We present the finding of a diverticulum in the colonic wall of the cecum, arising in the context of ileocecal stricture in a child with Crohn disease mimicking a post-appendectomy perforated appendiceal stump. To our knowledge, a non-Meckel diverticulum in a pediatric patient with Crohn disease has not yet been reported and we examine the mechanics behind it. According to the Laplace Law, the pressure inside a container with curved walls is inversely proportional to its radius. A diverticulum forms at the point of maximum stricture and at the locus of least resistance (weakness) in the bowel wall due to the inflammatory bowel disease. The long-time interval between diagnosis of ileocecal stricture and surgery (9 months) is important to allow the formation of this diverticulum. Continued follow-up in adulthood is warranted due to an increased risk of intestinal diverticular disease and neoplasms in patients with Crohn disease.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference10 articles.

1. Multiple small bowel diverticula were an unexpected finding during laparoscopic enterectomy for Crohn's disease;Sotirova;Med Arch,2020

2. Rare coexistance of Ileal diverticulosis, Crohn's disease and small bowel adenocarcinoma: report of a case;Spartalis;In Vivo,2018

3. Small bowel adenocarcinoma: epidemiology, risk factors, diagnosis and treatment;Aparicio;Dig Liver Dis,2014

4. Pathology of Childhood and Adolescence

5. Increased epithelial gap density in the noninflamed duodenum of children with inflammatory bowel diseases;Zaidi;J Pediatr Gastroenterol Nutr,2016

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3