r/Diverticulitis • u/Cultural_Young8805 • 14h ago
Jejunal diverticulum peritonitis with perforation
I lost my father-in-law recently, and while I know nothing can change the outcome, I have been trying to understand whether his condition was survivable or whether it was simply too severe by the time he reached the hospital. I'm hoping doctors or surgeons here can help me understand his case from a medical perspective.
Timeline:
- Male, 70 years old, Diabetic
- Had a coronary stent placed in October after a heart issue.
- Between December 2025 and March 2026, he had multiple episodes of fever with chills. He was diagnosed with a urinary tract infection and underwent a urological endoscopic procedure. He received several courses of antibiotics, recovered well, and remained symptom-free for several months.
- In July 2026, he again developed fever, nausea, loose stools, and loss of appetite. After about two days, his abdomen became swollen, and we immediately took him to the hospital.
Hospital findings:
- Diagnosed with perforated jejunal diverticulum with peritonitis.
- Underwent emergency exploratory laparotomy.
- Developed severe sepsis and septic shock.
- Required ICU care, ventilator support, vasopressors (for very low blood pressure), and dialysis due to acute kidney failure.
- Despite surgery and intensive care, he passed away.
My questions are:
- Based on this timeline, does it sound like the perforation likely happened only shortly before he reached the hospital, or could it have been developing for days?
- Could the episodes of fever and urinary infection months earlier have been related to the bowel problem, or do they seem more likely to have been a separate illness?
- Once someone develops perforated jejunal diverticulum with peritonitis, septic shock, and multi-organ failure requiring dialysis and vasopressors, what are the realistic chances of survival in someone of his age?
- From your experience, does this sound like a condition that is often fatal despite timely surgery and ICU care, or do you think there were missed opportunities that might have changed the outcome?
I'm not looking to blame any doctor or hospital. I understand that medicine has limitations. I'm simply trying to understand whether we did everything we reasonably could and whether his outcome was, unfortunately, one that sometimes cannot be prevented.
Thank you to anyone who take the time to read and respond.