Complicated diverticular colon disease in patients younger than 35 years: report of two cases and literature review.
BACKGROUND
Complicated colonic diverticular disease in young patients is a rare entity, with an incidence <10% from all patients in the largest series.


METHODS
We present two cases of complicated diverticular disease in patients <35 years old treated at the Hospital Juárez of México City. Both patients had acute abdominal pain with several days of evolution. In both patients, emergency surgery was performed and postoperative evolution was favorable.


CONCLUSIONS
Some authors have concluded that diverticulitis in younger patients demonstrates a more aggressive course than in older patients and with an increased risk of complications. Therefore, most physicians recommended elective resection after a single attack in such patients. Conversely, some recent reports highlighted that the clinical course and complications are similar in both age groups.
Rodríguez Wong
Ulises
U
Servicio de Cirugía General, Hospital Juárez de México, México, DF, Mexico. ulisesromed@prodigy.net.mx
Santamaría Aguirre
José Refugio
JR
Cruz Reyes
Juan Manuel
JM
García Alvarez
Javier
J
D000328:Adult; D043963:Diverticulosis, Colonic / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male