Related Experiment Videos
[Uncommon presentation of perforated colonic diverticuli]
1Dept. of Surgery C, Soroka Medical Center, Beer Sheba.
Harefuah
|March 15, 1996
Summary
Diverticulitis rarely affects the transverse colon but can cause serious complications. This report details two cases of perforated diverticulitis in the transverse and left colon, highlighting surgical management and outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Diverticulosis is most common in the sigmoid colon, with rarer occurrences in the cecum, ascending, and transverse colon.
- Perforated diverticulitis, though uncommon in the transverse colon, presents a significant clinical challenge.
Observation:
- Two male patients, aged 42 and 46, presented with clinical symptoms suggestive of perforated diverticulitis in the transverse and left colon, respectively.
- Surgical intervention involved extended right and left hemicolectomies, with one patient requiring colostomy revision due to stomal retraction.
Findings:
- Both patients experienced successful surgical outcomes and remained symptom-free post-recovery.
- The cases underscore the importance of considering complicated diverticulitis in patients presenting with intra-abdominal masses.
Implications:
- Diverticulitis with complications can mimic colonic carcinoma preoperatively, necessitating thorough diagnostic evaluation.
- Prompt surgical intervention and management are crucial for favorable outcomes in transverse colon diverticulitis.