Poole Hospital NHS Foundation Trust, Longfleet Road, Poole, BH15 2JB, UK. guy.nash@poole.nhs.uk.
ABSTRACT: Diverticulosis of the colon is a common condition of increasing age. Complications of diverticulitis including stricture, perforation and fistula formation often require surgery. Perforated diverticulitis may rarely present with spreading superficial sepsis. We describe for the first time, to our knowledge, a case of retroperitoneal diverticula perforation presenting as necrotising fasciitis of the leg necessitating hind-quarter amputation.