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Diverticular disease of colon; Indian variant
M Ibrarullah1, S S Sikora, R Saxena
1Dept. of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Insights
Diverticular disease of the colon is uncommon, presenting here as lower gastro-intestinal bleeding or perforation. Emergency surgery was required for all three patients, with two surviving the critical condition.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Diverticular disease of the colon is infrequently observed in our region, with its exact prevalence undetermined.
- This condition involves small pouches forming in the colon wall, which can lead to complications.
Observation:
- Three cases of colonic diverticular disease were managed.
- Presentations included lower gastro-intestinal hemorrhage and sigmoid colon perforation with peritonitis.
Findings:
- All three patients necessitated emergency surgical intervention.
- Two patients experienced positive outcomes post-surgery, while one patient unfortunately succumbed.
- No additional complications were reported during the follow-up period.
Implications:
- Highlights the rare but severe nature of colonic diverticular disease.
- Underscores the critical role of prompt surgical management in advanced cases.
- Suggests a need for further epidemiological studies to ascertain the true incidence.
Abstract:
Diverticular disease of colon is a rare entity in our country; true incidence of which is not known. We present three cases of diverticular disease, two with lower gastro-intestinal (GI) hemorrhage and one with sigmoid colon perforation and peritonitis. All three patients underwent emergency surgical treatment. Two patients survived and one died. No further complications were noted on follow up.