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Extraperitoneal manifestation of perforated diverticulitis.
Dig Dis Sci. 1993 Nov; 38(11):1985-8.DD

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.

Authors+Show Affiliations

Rothenbuehler JM
Department of Surgery, University Hospital Basle, Switzerland.
Oertli D
No affiliation info available
Harder F
No affiliation info available

MeSH

Abdominal MusclesAbscessAgedCutaneous FistulaDiverticulitis, ColonicFemaleHumansIntestinal FistulaIntestinal PerforationSigmoid DiseasesThigh

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8223070

Citation

Rothenbuehler, J M., et al. "Extraperitoneal Manifestation of Perforated Diverticulitis." Digestive Diseases and Sciences, vol. 38, no. 11, 1993, pp. 1985-8.
Rothenbuehler JM, Oertli D, Harder F. Extraperitoneal manifestation of perforated diverticulitis. Dig Dis Sci. 1993;38(11):1985-8.
Rothenbuehler, J. M., Oertli, D., & Harder, F. (1993). Extraperitoneal manifestation of perforated diverticulitis. Digestive Diseases and Sciences, 38(11), 1985-8.
Rothenbuehler JM, Oertli D, Harder F. Extraperitoneal Manifestation of Perforated Diverticulitis. Dig Dis Sci. 1993;38(11):1985-8. PubMed PMID: 8223070.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extraperitoneal manifestation of perforated diverticulitis. AU - Rothenbuehler,J M, AU - Oertli,D, AU - Harder,F, PY - 1993/11/1/pubmed PY - 1993/11/1/medline PY - 1993/11/1/entrez SP - 1985 EP - 8 JF - Digestive diseases and sciences JO - Dig Dis Sci VL - 38 IS - 11 N2 - 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. SN - 0163-2116 UR - https://www.unboundmedicine.com/medline/citation/8223070/Extraperitoneal_manifestation_of_perforated_diverticulitis_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -