title: The best choice of treatment for acute colonic diverticulitis with purulent peritonitis is uncertain.
abstract: Severe stages of acute, colonic diverticulitis can progress into intestinal perforations with peritonitis. In such cases, urgent treatment is needed, and Hartmann's procedure is the standard treatment for cases with fecal peritonitis. Peritoneal lavage may be an alternative to resection for acute diverticulitis with purulent peritonitis, but ongoing randomized trials are awaited to clarify this.
authors.affiliation: Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark.
authors.forename: Line
authors.identifier: 0000-0002-5865-2939
authors.initials: L
authors.lastname: Hupfeld
authors.affiliation: Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark.
authors.forename: Jakob
authors.identifier: 0000-0001-8367-7831
authors.initials: J
authors.lastname: Burcharth
authors.affiliation: Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark.
authors.forename: Hans-Christian
authors.identifier: 0000-0001-7068-1946
authors.initials: HC
authors.lastname: Pommergaard
authors.affiliation: Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark.
authors.forename: Jacob
authors.identifier: 0000-0002-0063-1086
authors.initials: J
authors.lastname: Rosenberg
mesh_terms: D003082:Colectomy; D003106:Colon / Q000473:pathology; D004239:Diverticulitis, Colonic / Q000150:complications / Q000473:pathology* / Q000628:therapy; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000473:pathology* / Q000628:therapy; D010535:Laparoscopy; D010538:Peritonitis / Q000150:complications / Q000473:pathology* / Q000628:therapy