Acute Diverticulitis in the Young Adult is Not 'Virulent.'

Schweitzer, Jeremy; Casillas, Robert A.; Collins, J. Craig
December 2002
American Surgeon;Dec2002, Vol. 68 Issue 12, p1044
Academic Journal
Acute diverticulitis historically has been considered rare before the age of 40 but "virulent" when it does occur and frequently requiring emergency operation. Recent experience suggests that the demographics and management of this disease are changing. Outcomes at Kaiser Permanente Los Angeles Medical Center were reviewed. Between January 1997 and July 2001 261 patients were discharged with the diagnosis of acute diverticulitis; 46 or 18 per cent of these were aged ≤40. Patients' mean age was 35, 76 per cent were men, 65 per cent were Latino, and 72 per cent were obese (body mass index ≥30 kg/m²). An operation at initial presentation was performed on 35 per cent (16/46) patients. Only 19 per cent of these (3/16) had a correct preoperative diagnosis. The 30 patients who were treated nonoperatively all were managed successfully; one required a percutaneous drain. Given the apparent increasing frequency of acute diverticulitis in young adults and the high success rate of initial nonoperative management surgeons should consider this diagnosis in selected patients who present with abdominal symptoms. Knowledge of typical clinical features and judicious use of computed tomography may decrease the number of unnecessary emergency operations in young adults with acute diverticulitis. Our data do not support a "virulent" label for this disease in the young.


Related Articles

  • Sigmoid Diverticulitis.  // JAMA: Journal of the American Medical Association;1/15/2014, Vol. 311 Issue 3, p300 

    An online continuing medical education quiz about sigmoid diverticulitis is presented.

  • Perforated Duodenal Diverticulitis: A Report of Three Cases. Miller, George; Mueller, Claudia; Yim, Duke; Macari, Michael; Liang, Howard; Marcus, Stuart; Shamamian, Peter // Digestive Surgery;2005, Vol. 22 Issue 3, p198 

    Background: Duodenal diverticuli are present in up to 22% of the population. However, perforation of a duodenal diverticulum with spillage of enteric contents into the retroperitoneum is rare. Methods: We report three cases of perforated duodenal diverticulitis. Results: Clinical presentations...

  • Emergency Laparoscopic Sigmoidectomy for Perforated Diverticulitis with Generalised Peritonitis: A Systematic Review. Vennix, Sandra; Boersema, Geesien S.; Buskens, Christianne J.; Menon, anand G.; Tanis, Pieter J.; Lange, Johan F.; Bemelman, Willem a. // Digestive Surgery;Feb2016, Vol. 33 Issue 1, p1 

    Background: Laparoscopic sigmoidectomy for diverticulitis has initially been confined to the elective setting. However, open acute sigmoidectomy for perforated diverticulitis is associated with high morbidity rates that might be reduced after laparoscopic surgery. The aim of this systematic...

  • Nuts & Popcorn May Reduce--Not Raise--Diverticulitis Danger.  // Tufts University Health & Nutrition Letter;Nov2008, Vol. 26 Issue 9, p1 

    The article offers information on the study conducted by researchers led by Lisa Strate of the University of Washington which indicates that nuts and popcorn reduce the risk for diverticulitis, a painful colon condition. The study shows that men eating most nuts were 20% less likely to develop...

  • Diverticular Disease.  // Diseases & Disorders: A Nursing Therapeutics Manual, 3rd edition;2007, p299 

    The article presents a nursing guide to diverticular disease. It discusses the causes, assessment, diagnosis and treatment of the disease. It describes the genetic, racial and ethnic characteristics of the people most susceptible to this disease. Guidelines for independent nursing interventions,...

  • Current Recommendations on Diagnosis and Management of Right-Sided Diverticulitis. Telem, Dana A.; Buch, Kerri E.; Nguyen, Scott Q.; Chin, Edward H.; Weber, Kaare J.; Divino, Celia M. // Gastroenterology Research & Practice;2009, Vol. 2009, Special section p1 

    We present the case of a 52-year-old female with recurrent symptomatic ascending colon diverticulitis who ultimately underwent elective laparoscopic right hemicolectomy. The following is a case report and literature review pertaining to right colonic diverticular disease.

  • Recurrent Duodenal Diverticulitis After Surgical Resection of the Diverticulum: A Case Report and Literature Review. RAZDAN, RISHI; OATIS, KRISTI; SPECHT, NEIL // Connecticut Medicine;Sep2011, Vol. 75 Issue 8, p469 

    Duodenal diverticulitis has been considered a rare entity. he diagnosis with computed tomography has become a fast and noninvasive means of detection and guide to management. cases of surgically resected duodenal diverticula reforming and reinfecting are rarer yet, often presenting with similar...

  • Reversal of Hartmann’s Procedure after Surgery for Complications of Diverticular Disease of the Sigmoid Colon Is Safe and Possible in Most Patients. Oomen, J. L. T.; Cuesta, M. A.; Engel, A. F. // Digestive Surgery;2005, Vol. 22 Issue 6, p419 

    Background: Although evidence is growing that most patients who need an operation for diverticular disease of the sigmoid colon can be treated by a single-stage procedure, a two-stage procedure will still be necessary in some patients because of significant sepsis or technical difficulties. The...

  • A Prospective Study of Acute Admissions in a Surgical Unit due to Diverticular Disease. John; Teo; Forster // Digestive Surgery;2007, Vol. 24 Issue 3, p186 

    Introduction: Considerable controversy exists in the surgical literature on the most appropriate treatment modality for patients with recurrent diverticular disease. We aim to assess the clinical outcome of acute surgical admissions with diverticular disease, and in particular patients with...

  • Diverticular Carcinoma of the Urinary Bladder: Diagnosis and Treatment Problems. A. Haecker; G. Riedasch; S. Langbein; P. Alken; M.S. Michel // Medical Principles & Practice;Mar/Apr2005, Vol. 14 Issue 2, p121 

    Objectives: To report a case of a primary carcinoma arising in a vesical diverticulum. Clinical Presentation and Intervention: A 59-year-old male patient presented with painless macrohematuria. A primary carcinoma arising in a vesical diverticulum was detected with cystoscopy and confirmed with...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics