Three cases of intramesenteric perforation of colon diverticula illustrate the clinical variations of this disease. Very often the acute illness occurs de novo without a past history of diverticulitis. This lesion can masquerade as cholangitis and may result in a negative biliary tract exploration. The barium enema can give equivocal findings. This experience leads to suggestions for operative diagnosis and treatment.
Bell JW. Intramesenteric Perforation of Colon Diverticulitis. Arch Surg. 1971;102(5):471-473. doi:10.1001/archsurg.1971.01350050037012