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Pelosi, Marco A.; Villalona, Emmanuel

doi:10.1097/00019509-199901000-00015

Cited by 14 publications

(2 citation statements)

References 7 publications

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“…Two more studies were manually retrieved from references of relevant publications. In total, 12 articles were finally included (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23). The selection process employed during the systematic literature search is described according to the PRISMA statement in Figure 1.…”

Section: Study Characteristicsmentioning

confidence: 99%

Diverticulitis during pregnancy: A review of the reported cases

Kechagias

Katsikas-Triantafyllidis²,

Geropoulos

et al. 2022

Front. Med.

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BackgroundDiverticular disease of the colon represents a common clinical condition in the western world. Its prevalence increases with age and only 5% of cases occur in adults younger than 40 years of age, making it a rare condition during pregnancy. The aim of this review was to provide an overview of the reported cases of diverticulitis during pregnancy.MethodsWe conducted a systematic review of the literature based on preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines. We searched three different electronic databases namely PubMed, Scopus and Web of Science from inception to December 2021. Literature search and data extraction were completed in duplicates.ResultsThe initial search yielded 564 articles from which 12 were finally included in our review. Ten articles were case reports and two were observational studies. The mean age of the cases was 34 years. The presenting complain was provided for 11 cases. The majority of the patients (10/11, 91%) presented with abdominal pain located mainly on the left (6/11, 55%) or right (4/11, 36%) iliac fossa. The most common diagnostic modality used for the diagnosis of the condition was ultrasonography in nine cases (9/12, 75%) followed by magnetic resonance imaging (MRI) in two cases (2/12, 17%). In spite of clinical and radiological evaluation, the initial diagnosis was inaccurate in seven cases (7/12, 58%). The therapeutic approach was available for 11 cases and it was based on the administration of intravenous antibiotics in six cases (6/11, 55%) and surgical management in five cases (5/11, 45%). Data for the type of delivery was provided in nine studies with five patients (5/9, 56%) delivering vaginally and four patients (4/9, 44%) delivering with cesarean section.ConclusionAs advanced maternal age becomes more common, the frequency of diverticulitis in pregnancy may increase. Although available guidelines do not exist, the clinical awareness, early recognition of the disorder, using diagnostic modalities such as ultrasound and MRI, and rapid therapeutic approach with antibiotics, may improve maternal and neonatal outcomes.

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Section: Study Characteristicsmentioning

confidence: 99%

Diverticulitis during pregnancy: A review of the reported cases

Kechagias

Katsikas-Triantafyllidis²,

Geropoulos

et al. 2022

Front. Med.

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“…Although the incidence of diverticular disease has seen an increase in younger populations [1,2,6,7], the cooccurrence of diverticulitis and pregnancy is incredibly rare, with only around a dozen documented case reports and two observational studies [8][9][10][11], and may often be overlooked when evaluating an acute abdomen in the obstetric population [12]. Furthermore, one study reviewing a 20-year period of pregnancies within an obstetric department reported an incidence of one in 6000 pregnancies [13], but these cases included small bowel diverticular diseases like Meckel's diverticulitis.…”

Section: Introductionmentioning

confidence: 99%

Diverticular Abscess Complicating Pregnancy at 18 Weeks’ Gestation in a 30-Year-Old Female: A Case Report

Louie,

Champagne

2023

Cureus

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The co-occurrence of diverticulitis with pregnancy is incredibly rare and the management of recurrent complicated diverticulitis may not be feasible in a pregnant patient. Adding cases to the incredibly sparse literature may highlight similarities and create potential recommendations for at-risk populations. We present a case of a female at 18 weeks' gestation who presented with left lower quadrant pain. The initial physical exam and clinical findings revealed severe abdominal tenderness without signs of generalized peritonitis, leukocytosis with predominant neutrophils, and fundal height with confirmatory ultrasonography of intrauterine pregnancy. The main diagnosis was diverticulitis complicated by an abscess and pregnancy, confirmed with CT imaging. The initial intervention was IV antibiotics and bowel rest; however, with each subsequent discharge, she returned to the emergency department with worsening symptoms. Eventually, at 28 weeks, she was escalated to IV meropenem, CT-guided drainage of the abscess, and preterm vaginal delivery at 28 weeks, with a lower anterior resection and diverting ileostomy at six weeks postpartum. She is currently being followed outpatient with improvement in pain, meaningful healthy weight gain, and a healthy newborn child. While management of diverticulitis is generally straightforward, severe presentations like this, even when compared to existing literature, suggest traditional notions of contraindications and risks may not fully apply. Timing and management of recurrent diverticulitis in pregnancy necessitate further research to establish comprehensive guidelines tailored to these at-risk populations.

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Laparoscopy in Pregnant Patients

Alvarez-Downing

Maron

2014

Minimally Invasive Approaches to Colon and Rectal Disease

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Untitled

Cited by 14 publications

References 7 publications

Diverticulitis during pregnancy: A review of the reported cases

Diverticulitis during pregnancy: A review of the reported cases

Diverticular Abscess Complicating Pregnancy at 18 Weeks’ Gestation in a 30-Year-Old Female: A Case Report

Laparoscopy in Pregnant Patients

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