0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ORIGINAL ARTICLES |

Acute Perforated Diverticulitis of the Sigmoid Colon with Generalized Peritonitis

HIRAM H. BELDING III, M.D.
AMA Arch Surg. 1957;74(4):511-515. doi:10.1001/archsurg.1957.01280100029004.
Text Size: A A A
Published online

Acute free perforation of a diverticulum of the sigmoid with generalized peritonitis is a rare complication of diverticulitis. Arnheim1 in reviewing 834 cases of surgically treated diverticulitis from the literature found that 19% of cases had abscess formation, 12% had localized peritonitis, and only 2% had spreading peritonitis. The very nature of the inflammatory process in diverticulitis of the sigmoid is in essence a peridiverticulitis. This promotes dense adhesions to surrounding structures, such as small bowel, bladder, cecum, and other segments of sigmoid at an early phase in the inflammatory process, with resultant abscess and fistula formation but rarely with free perforation to the peritoneal cavity with generalized peritonitis.2 Maingot6 states that the seriousness of this rare complication of diverticulitis requires prompt surgical definitive intervention in order to lessen the high mortality rate from such a lesion. At the Riverside Medical Clinic in the past five years

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();