Freischlag J, Bennion R S, Thompson J E
Dis Colon Rectum. 1986 Oct;29(10):639-43. doi: 10.1007/BF02560326.
Diverticular disease of the colon in patients under the age of 40 years is uncommon. Between 1975 and 1985, 58 patients (31 men and 27 women) were admitted for pathologically or radiographically proven acute diverticulitis. Seventeen (29.3 percent) were younger than 40 years. Fifteen of the 17 (88.2 percent) required urgent or emergent surgery for complications of diverticular disease. This represents a significantly (P less than 0.02) larger proportion of that age group than those patients older than the age of 40 (17/41 or 41.5 percent). Twelve of the patients younger than age 40 (70.6 percent) had had their symptoms for 72 hours or less, and in 13, surgery was required during the first attack. Indications for surgery included abscess, perforation, and persistence of symptoms. Six patients required surgery in less than 24 hours. In young people, the initial attack of colonic diverticulitis is frequently severe, often requiring an urgent operation for complications. Excellent results with few complications can be obtained when the index of suspicion is high, an early diagnosis is made, and timely surgical intervention is employed.
40岁以下人群的结肠憩室病并不常见。1975年至1985年间，58例（31例男性和27例女性）因病理或影像学证实为急性憩室炎而入院。其中17例（29.3%）年龄小于40岁。这17例中的15例（88.2%）因憩室病并发症需要紧急或急诊手术。与40岁以上患者（17/41或41.5%）相比，该年龄组的这一比例显著更高（P<0.02）。40岁以下的患者中有12例（70.6%）症状持续72小时或更短时间，13例在首次发作时就需要手术。手术指征包括脓肿、穿孔和症状持续。6例患者在不到24小时内就需要手术。在年轻人中，结肠憩室炎的首次发作通常很严重，常常需要因并发症而进行紧急手术。当怀疑指数高、早期诊断并及时进行手术干预时，可以获得很少有并发症的良好结果。
