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September 1979

Acute Diverticulitis of the Transverse Colon With PerforationReport of Three Cases and Review of the Literature

Author Affiliations

From the Department of Surgery, Hartford Hospital (Drs McClure and Welch), Hartford, Conn, and the Department of Surgery, University of Connecticut School of Medicine (Dr Welch), Farmington, Conn. Dr McClure is now practicing in Klamath Falls, Ore.

Arch Surg. 1979;114(9):1068-1071. doi:10.1001/archsurg.1979.01370330090017

• Three cases of perforated diverticulitis of the transverse colon are added to 19 case reports in the English literature. This unusual disease entity is usually confused with acute appendicitis prior to operation and with carcinoma of the colon during the procedure. The cause of these diverticula is unclear, and their clinical presentation resembles that of right-sided diverticula. Segmental resection of the transverse colon together with end-to-end anastomosis is the treatment of choice, except in the occasional instance of a large intra-abdominal abscess, when anastomosis may be deferred.

(Arch Surg 114:1068-1071, 1979)