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Corticosteroid-Associated Perforation of Colonic Diverticula
Edward L. Arsura, MD
Arch Intern Med. 1990;150(6):1337-1338.
Abstract
• The use of corticosteroids is associated with numerous and, at times, grave complications involving the gastrointestinal tract. Perforation of peptic ulcer is one of the most frequent gastrointestinal catastrophies attributed to the use of corticosteroids. An underappreciated relationship is that of perforation of colonic diverticula and corticosteroid therapy. This report describes the course of three patients who developed perforations of colonic diverticula that were temporally related to corticosteroid use. An overview of the problem is given, and potential difficulties in managing these patients are highlighted.
(Arch Intern Med. 1990;150:1337-1338)
Author Affiliations
From the Department of Medicine, St Vincent's Hospital Center and Medical Center, New York, NY. Dr Arsura is now with the Department of Medicine, Kern Medical Center, Bakersfield, Calif.
Footnotes
Accepted for publication July 12,1989.
Reprint requests to Department of Medicine, Kern Medical Center, 1830 Flower St, Bakersfield, CA 93305 (Dr Arsura).
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