Nonsurgical Management of Intramesenteric Perforated Diverticulitis of the Sigmoid Colon: A Report of Two Cases

Abstract

Some cases of intramesenteric perforated diverticulitis of the colon can be treated by nonsurgical intervention. In our hospital, two patients with intramesenteric perforated diverticulitis of the colon underwent nonsurgical treatment. In both these patients there was no generalized peritonitis, the hemodynamics were stable, feces were not leaking from the colon, and there were no abscesses. Furthermore, lack of exacerbation was confirmed by several follow-up examinations. Both patients were treated successfully with antibiotics. Nonsurgical management of intramesenteric perforated diverticulitis of the colon is an acceptable modality for selected patients.