Micro- or macroscopic perforation of diverticulum
Uncomplicated (75%) vs. complicated
Obesity is a risk factor
Fecal material in diverticulum hardens, formin...
Symptoms typically develop over days
Almost 50% have had prior episodes of pain
Left lower quadrant pain in 70% of cases in Western countries
Initially vague, then loca...
Fluid resuscitation with 0.9% normal saline
NPO or clear liquid diet
Nasogastric tube (NG) tube if persistent vomiting or bowel obs...
Intractable pain and/or vomiting
Failure to respond to outpatient management
Severe disease on CT scan
CT scanning differentiates diverticulitis as complicated or uncomplicated:
Surgery reserved for complicated cases, but nonoperative management becoming more prevalent
Most cases of u...
Lorimer JW, Doumit G. Comorbidity is a major determinant of severity in acute diverticulitis. Am J Surg. 2007;193:681–685.
Nelson RS, Ewing BM, Wengert TJ, et al. Clinical...
562.11 Diverticulitis of colon (without mention of hemorrhage)
562.13 Diverticulitis of colon with hemorrhage
K57.20 Diverticulitis of large intestine with perforation and abscess without...
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