Long-Term Outcome of Mesocolic and Pelvic Diverticular Abscesses of the Left Colon: A Prospective Study of 73 Cases

• DOI: 10.1007/s10350-004-0853-z
• Publication Date: 2005-03-03T22:17:41Z
• Authors: Patrick Ambrosetti; Roland Chautems; Claudio Soravia; Nyali Peiris-Waser; François Terrier
• Keywords: Diverticulitis; Colorectal Surgery

The aim of this study was to evaluate prospectively the long-term outcome mesocolic and pelvic diverticular abscesses left colon.Between October 1986 1997, a total 465 patients urgently admitted our hospital with suspected diagnosis acute left-sided colonic diverticulitis had CT scan. Of 76 (17 percent) who an associated or abscess, 3 were lost follow-up. remaining 73 (45 abscess 28 abscess) followed for median 43 months.of 45 7 (15 required surgery during their first hospitalization versus 11 (39 (P = 0.04). At end follow-up, 22 (58 38 successful conservative treatment did not need surgical vs. 8 (47 17 abscess. Altogether, 51 percent 71 those 0.09).Considering poor diverticulitis, percutaneous drainage by secondary colectomy seems justified. Mesocolic itself is absolute indication colectomy.