BACKGROUND: @entity66 is a common entity. The presentation, investigations performed, and management are variable. Our objectives were to assess the presentation, extent of disease, and treatment of a cohort of @entity1 with @entity12127 . METHODS: All @entity1 with a diagnosis of @entity4436 over a 9-year period were reviewed. @entity1 were assessed as to age, sex, presenting symptoms, diagnostic studies, extent of disease, treatment, and outcome. RESULTS: Over a 9-year period (1992 to 2001), 192 @entity1 were admitted with a diagnosis of @entity12127 . The mean age was 61 years (range 28 to 90); 113 of 192 (59%) were female. The mean duration of symptoms prior to presentation was 14 days (range 1 to 270 days). One hundred eighteen of 192 (61%) had a previous documented attack of @entity4436 . Of the investigations performed 128 of 192 (66.7%) had a computed tomography (CT) scan of the abdomen and pelvis, 37 of 192 (20%) underwent a contrast enema, 61 of 192 (32%) underwent colonoscopy and 2 of 192 (1%) underwent a small bowel series. The abnormal findings on the CT scan were as follows: @entity733 (16%), @entity4436 (37%), @entity7261 without @entity32 (15%), free air (10%) and @entity292 (1%). The locations of the diverticular abscesses were: pelvic (36%), pericolic sigmoid (36%), and "other," which included interloop (28%). Preoperative abscess drainage occurred in 10 of 192 (5%), which were either percutaneous, 6 of 192 (3%), or transrectal, 4 of 192 (2%). Nine of 192 (6%) presented with a @entity292 , colovesical fistulae (3%), colocutaneous (1%), enterocolic (1%), or colovaginal (1%). Overall, 73 of 192 (38%) underwent surgery. All @entity1 undergoing surgery had a resection of their colon. The operative findings were localized abscess in 16 of 73 (22%), purulent/feculent @entity298 in 12 of 73 (17%), and phlegmon in 10 of 73 (14%). Sixty-seven of 73 (92%) had a primary resection with @entity254 ; 38 of 67 (56%) had a protecting stoma. Five of 73 (7%) @entity1 were found to have an unsuspected @entity189 . Overall, 29 of 192 (15%) developed a complication related to @entity4436 . Morbidity was 15.1%, of which 34% was infection related. Four of 192 @entity1 (2%) died. CONCLUSIONS: In our experience, most @entity1 presented with @entity490 predominantly in the left lower quadrant. The symptoms were present on average of 14 days, most were female (59%), and most @entity1 had a previous attack of @entity4436 . The commonest investigation performed was a CT scan (66.7%); however, other investigations were performed, for example, barium enemas. The practice of resection and primary @entity254 for @entity697 has an acceptable morbidity and mortality. For high-risk anastomoses, a covering loop ileostomy and not a Hartmann's procedure is preferred. Surgery remains safe for the majority of @entity1 and is associated with resolution of symptoms. We believe that because of the high number of @entity1 in our series who had a previous attack of @entity4436 , therapy should be focused on preventing recurrent and virulent attacks by earlier operative intervention.

Spectrum of disease and outcome of XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute diverticulitis'] @entity66 :: ('MESH:D004194', 'Disease') :: ['Diverticular disease'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinoma'] @entity7261 :: ('MESH:D004240', 'Disease') :: ['diverticulosis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity733 :: ('MESH:D000038', 'Disease') :: ['diverticular abscess'] @entity12127 :: ('MESH:D004239', 'Disease') :: ['colonic diverticulitis'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity4436 :: ('MESH:D004238', 'Disease') :: ['diverticulitis'] @entity298 :: ('MESH:D010538', 'Disease') :: ['peritonitis']
@entity66 :: (MESH:D004194,Disease) :: ['complicated diverticular disease']
