Extraperitoneal manifestation of perforated diverticulitis.

Abstract:

:We observed five cases of unusual extraperitoneal presentation of diverticulitis during an 11 year period. During that time, a total of 263 patients were operated for diverticulitis. Patients 1-4 presented with an inflammatory spread of diverticulitis through the abdominal wall; in patient 5 multiple abscesses were present in the left thigh. Inadequate resection and previous radiotherapy in patient 4 might have contributed to the complicated course. In patient 5, poor condition initially allowed only local drainage of the thigh abscesses. Despite laparotomy and sigmoid resection a few days after drainage, the fatal outcome could not be prevented. A more extensive resection and a protecting colostomy might have prevented the fistulous complication in patient 4. A primary resection and abscess drainage might have averted the fatal outcome in patient 5.

journal_name

Dig Dis Sci

authors

Rothenbuehler JM,Oertli D,Harder F

doi

10.1007/BF01297073

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

1985-8

issue

11

eissn

0163-2116

issn

1573-2568

journal_volume

38

pub_type

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