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Unusual extraperitoneal presentations of diverticulitis
The American Journal of Gastroenterology
|May 1, 1985
Summary
Complicated diverticular disease can present unusually outside the abdomen, affecting areas like the hip. Early diagnosis of these rare extraperitoneal conditions is crucial to reduce mortality risks.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Diverticular disease typically affects the colon.
- Complicated diverticular disease can manifest in unusual extraperitoneal locations.
Observation:
- Extraperitoneal presentations of complicated diverticular disease are rare.
- These can occur in the perineum, scrotum, hip, neck, and other sites.
- Diagnosis is often delayed due to the unusual presentation.
Findings:
- Extraperitoneal diverticular disease is more common in women and the elderly.
- The hip is the most frequent site for extraperitoneal presentation.
- Delayed diagnosis is associated with increased mortality.
Implications:
- Increased awareness of these rare presentations is needed for timely diagnosis.
- Understanding routes of spread can aid in diagnostic and treatment strategies.
- Prompt management of extraperitoneal diverticular disease can improve patient outcomes.