Abstract
Of a consecutive series of 25 patients with peritonitis secondary to colonic diverticular disease all, except one with faecal peritonitis, underwent some form of emergency resection.
All the three patients with faecal peritonitis died, but the 22 with purulent peritonitis survived. The average duration of the emergency admission of the 22 survivors was 25.4 days, and in nine (41%) of them intestinal continuity had been restored by the end of that admission.
Thus some form of emergency resection is the operation of choice in patients with spreading peritonitis due to diverticular disease of the sigmoid colon.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- DAWSON J. L., HANON I., ROXBURGH R. A. DIVERTICULITIS COLI COMPLICATED BY DIFFUSE PERITONITIS. Br J Surg. 1965 May;52:354–357. doi: 10.1002/bjs.1800520509. [DOI] [PubMed] [Google Scholar]
- LARGE J. M. TREATMENT OF PERFORATED DIVERTICULITIS. Lancet. 1964 Feb 22;1(7330):413–414. doi: 10.1016/s0140-6736(64)92790-4. [DOI] [PubMed] [Google Scholar]
- MACLAREN I. F. Perforated diverticulitis: a survey of 75 cases. J R Coll Surg Edinb. 1957 Dec;3(2):129–144. [PubMed] [Google Scholar]
- Madden J. L. Treatment of perforated lesions of the colon by primary resection and anastomosis. Dis Colon Rectum. 1966 Nov-Dec;9(6):413–416. doi: 10.1007/BF02617434. [DOI] [PubMed] [Google Scholar]
- RYAN P. Emergency resection and anastomosis for perforated sigmoid diverticulitis. Br J Surg. 1958 May;45(194):611–616. doi: 10.1002/bjs.18004519409. [DOI] [PubMed] [Google Scholar]