Novel endoscopic management for acute diverticulitis with localized abscess

The clinical spectrum of acute diverticulitis ranges from a phlegmon to limited abscesses, to free perforation with purulent or contaminated peritonitis [1]. While there is little debate about the optimal treatment for mild or very severe situations, uncertainty remains about the optimal strategy for acute diverticulitis with localized abscesses. Here, we report a successful endoscopic diverticulotomy for limited septic diverticulitis caused by a fecal stone.