The physician is faced with distinguishing between diverticulitis and carcinoma all too frequently in the management of colonic disease. With the advent of intestinal antibiotics, Wangensteen suction, and proper understanding of electrolytes and blood volume, a more aggressive surgical approach to diverticulitis has been made. However, due to technical difficulties accompanying resection of colon involved with active inflammation, definitive surgery is often long delayed to allow regression of the inflammatory process. If carcinoma is later discovered alone or accompanying diverticulitis, the mistake may well have deprived the surgeon of the opportunity of total excision of the malignant process.
Diverticulitis accompanying carcinoma of the colon has long been considered an unusual combination. With the steadify increasing number of elderly persons and the recognized increased frequency of diverticulitis in older age groups, patients experiencing the disease simultaneously should likewise be seen more frequently.
The purpose of this article is to determine whether
RAUCH RF. Coexisting Diverticulitis and Carcinoma of the ColonComprehensive Study on Survival. AMA Arch Surg. 1956;73(5):823-827. doi:10.1001/archsurg.1956.01280050091017