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Acute diverticulitis in young adults
1Department of Emergency Medicine, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts 01199.
Insights
Diverticular disease, including diverticulitis, is not exclusive to older adults. This review highlights that diverticulitis is more common in patients under 40 than previously thought.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Diverticular disease of the colon is typically diagnosed in older populations.
- Symptoms before age 40 are considered rare in the general understanding of diverticular disease.
Observation:
- Two cases of sigmoid diverticulitis with rupture occurred in young female patients.
- These cases prompted a literature review on early-onset diverticulitis.
Findings:
- Diverticulitis prevalence in patients under 40 is higher than previously suspected.
- Young female patients can present with severe diverticular disease.
Implications:
- Clinical suspicion for diverticulitis should be considered in younger patients presenting with abdominal pain.
- Further research is needed to understand the risk factors and management of diverticulitis in young adults.
Abstract:
Diverticular disease of the colon is generally considered a disease of older patients, rarely causing symptoms before age 40. Two recent cases of ruptured sigmoid diverticulitis in young female patients presenting to our Emergency Department prompted a review of the literature on this topic. Diverticulitis is more common in patients under 40 than previously suspected. Presented are the two cases and a brief summary of the literature review.
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