title: Perforated diverticulitis in a Hartmann rectal pouch.
abstract: The Hartmann procedure is the surgical treatment of choice for perforated diverticulitis. Modifications leaving a long rectal pouch or mucous fistula and a variable length of bowel that contains inactive diverticula have been described. A steroid-dependent patient presented with perforated diverticulitis in residual disease in the Hartmann rectal pouch ten months after initial sigmoid resection for a perforated diverticulum. Because steroid-treated patients are at high risk for complications and recurrent disease, all diseased bowel should be resected during the initial procedure.
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004239:Diverticulitis, Colonic / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D012007:Rectum / Q000601:surgery*; D012008:Recurrence; D013256:Steroids / Q000009:adverse effects
chemical_list: D013256:Steroids