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To the Editor:—
In an article entitled "Solitary Cecal Diverticulitis" (The Journal, July 20, p. 194) Dr. August Jonas Jr. reported five cases of acute diverticulitis of the cecum, in two of which the age of the patients was under 40. He also collected nineteen cases from the literature, and in seven of these, or 36.8 per cent, the age was under 40.Dr. Jonas stated that this was "in sharp contradistinction to the age incidence of multiple diverticulitis"... that in a Mayo Clinic report "only 5.2 per cent occurred under 40 years of age—a proportion with which other reports are in substantial agreement." While diverticulosis and diverticulitis of the colon are considered to occur usually after the fourth decade, it is not unlikely that diverticulosis, which must precede diverticulitis, is more frequently present in the colon before the age of 40 than has been indicated in the numerous publications
Bearse C. DIVERTICULOSIS AND DIVERTICULITIS OF THE COLON. JAMA. 1940;115(7):552. doi:10.1001/jama.1940.02810330058030