[Uncommon presentation of perforated colonic diverticuli].
Diverticulosis of the colon is common in the sigmoid, but much less so in the cecum, ascending or transverse colon. We report 2 patients who presented with clinical findings of perforated diverticulitis of the transverse and left colon. A 42- and a 46-year-old man underwent extended right and left hemicolectomies, respectively. The first patient ran an excellent postoperative course. In the second, in whom a double-barrelled colostomy was formed, the proximal colostomy had to be redone because of stomal retraction, but both stomata eventually were closed. On follow-up both patients are symptom-free. The diagnosis of diverticulitis with complications should be considered in patients who present with intra-abdominal masses. Preoperatively, the condition often cannot be differentiated from carcinoma.
Ohana
N
N
Dept. of Surgery C, Soroka Medical Center, Beer Sheba.
Walfisch
S
S
D000328:Adult; D003082:Colectomy; D003110:Colonic Neoplasms; D003125:Colostomy; D003937:Diagnosis, Differential; D004241:Diverticulum, Colon / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography