Kling Sarah, Kripalani Simran, Vu Joceline V
Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania.
Division of Colorectal Surgery, Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania.
Clin Colon Rectal Surg. 2024 Oct 7;38(4):277-282. doi: 10.1055/s-0044-1791553. eCollection 2025 Jul.
In this article, we describe four unusual variations of diverticulitis: nonsigmoid colonic diverticulitis, giant colonic diverticulum, segmental colitis associated with diverticulosis, and small bowel diverticulitis. We discuss the epidemiology, presentation, and treatment of these types and how they differ from the presentation of typical sigmoid diverticulitis. We also review unusual presentations of typical sigmoid diverticulitis, including hematogenous liver abscess, necrotizing soft-tissue infection, and genitourinary fistula. Diverticulitis is a heterogeneous disease, and understanding the range of its presentations will facilitate early diagnosis and treatment.
在本文中，我们描述了憩室炎的四种不寻常变异类型：非乙状结肠憩室炎、巨大结肠憩室、与憩室病相关的节段性结肠炎以及小肠憩室炎。我们讨论了这些类型的流行病学、临床表现及治疗方法，以及它们与典型乙状结肠憩室炎临床表现的差异。我们还回顾了典型乙状结肠憩室炎的不寻常表现，包括血源性肝脓肿、坏死性软组织感染和泌尿生殖瘘。憩室炎是一种异质性疾病，了解其表现范围将有助于早期诊断和治疗。
