Perforated diverticulitis in a Hartmann rectal pouch

Diseases of the Colon and Rectum
C FowlerJ Sternquist

Abstract

The Hartmann procedure is the surgical treatment of choice for perforated diverticulitis. Modifications leaving a long rectal pouch or mucous fistula and a variable length of bowel that contains inactive diverticula have been described. A steroid-dependent patient presented with perforated diverticulitis in residual disease in the Hartmann rectal pouch ten months after initial sigmoid resection for a perforated diverticulum. Because steroid-treated patients are at high risk for complications and recurrent disease, all diseased bowel should be resected during the initial procedure.

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Citations

Jan 1, 1995·International Journal of Colorectal Disease·K Bielecki, P Kamiński
Nov 1, 1991·Diseases of the Colon and Rectum·F M CarterZ Cohen
May 1, 1991·Clinical Radiology·M F Creagh, T Y Chan
Jan 1, 1990·American Journal of Surgery·P A Haas, T A Fox

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