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Perforated Solitary Diverticulitis of the Transverse Colon

Perforated Solitary Diverticulitis of the Transverse Colon Abstract To the Editor.—We would like to mention a rare case of perforated solitary diverticulitis of the transverse colon mimicking acute appendicitis. Report of a Case A 43-year-old woman was admitted to the Kaiser Foundation Hospital, Los Angeles, with a history of 48 hours' periumbilical pain that later migrated to the right lower quadrant. A complete work-up preoperatively suggested the diagnosis of acute appendicitis. At surgery, the appendix was perfectly normal. All the other viscera were normal except the transverse colon, which was lying low, at a level below the umbilicus. In the middle third of the transverse colon was a phlegmonous mass involving the colon wall and pericolic fat with an adjacent small abscess along the mesenteric border. The rest of the transverse colon was normal.We elected to resect the middle third of the transverse colon, including the abscess near the mesentery, bringing out the proximal end as References 1. Williams KL: Acute solitary ulcers and acute diverticulitis of the cecum and ascending colon . Br J Surg 47:351, 1960.Crossref 2. Wagner DE, Zollinger RW: Diverticulitis of the cecum and ascending colon . Arch Surg 83:436, 1961.Crossref 3. Bahabogorgui S, DeMuth WE, Blakemore WS: Diverticulitis of the ascending colon . Am J Surg 115:295, 1968.Crossref 4. Barlow D: Simple ulcers of caecum, colon and rectum . Br J Surg 28:575, 1941.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Perforated Solitary Diverticulitis of the Transverse Colon

Perforated Solitary Diverticulitis of the Transverse Colon

Abstract

Abstract To the Editor.—We would like to mention a rare case of perforated solitary diverticulitis of the transverse colon mimicking acute appendicitis. Report of a Case A 43-year-old woman was admitted to the Kaiser Foundation Hospital, Los Angeles, with a history of 48 hours' periumbilical pain that later migrated to the right lower quadrant. A complete work-up preoperatively suggested the diagnosis of acute appendicitis. At surgery, the appendix was perfectly normal. All the...
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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1974.01350260101035
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—We would like to mention a rare case of perforated solitary diverticulitis of the transverse colon mimicking acute appendicitis. Report of a Case A 43-year-old woman was admitted to the Kaiser Foundation Hospital, Los Angeles, with a history of 48 hours' periumbilical pain that later migrated to the right lower quadrant. A complete work-up preoperatively suggested the diagnosis of acute appendicitis. At surgery, the appendix was perfectly normal. All the other viscera were normal except the transverse colon, which was lying low, at a level below the umbilicus. In the middle third of the transverse colon was a phlegmonous mass involving the colon wall and pericolic fat with an adjacent small abscess along the mesenteric border. The rest of the transverse colon was normal.We elected to resect the middle third of the transverse colon, including the abscess near the mesentery, bringing out the proximal end as References 1. Williams KL: Acute solitary ulcers and acute diverticulitis of the cecum and ascending colon . Br J Surg 47:351, 1960.Crossref 2. Wagner DE, Zollinger RW: Diverticulitis of the cecum and ascending colon . Arch Surg 83:436, 1961.Crossref 3. Bahabogorgui S, DeMuth WE, Blakemore WS: Diverticulitis of the ascending colon . Am J Surg 115:295, 1968.Crossref 4. Barlow D: Simple ulcers of caecum, colon and rectum . Br J Surg 28:575, 1941.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 1974

References