Acute diverticulitis-pathogenesis

acute diverticulitis,

a sudden severe, painful disorder of the intestinal tract, resulting from inflammation of one or more diverticula, or small pouches, in the wall of the bowel. The condition is typically diagnosed through x-rays and treated with antibiotics and/or surgically. If left untreated, the inflamed pouches may rupture, spilling fecal matter into the abdominal cavity and causing peritonitis.

acute diverticulitis

GI disease Acute inflammation of a diverticulum of the large–less commonly, small–intestine Staging See Hinchey staging Clinical Pain in hypogastrium, which localizes to the left lower quadrant; altered bowel habits–diarrhea > constipation, dysuria, urinary frequency, urgency–if affected segment is close to bladder Imaging CT is the diagnostic method of choice; it is safe, cost-effective, correlates with diagnosis of AD; false negative rate–2-21% Management First attack-liquid diet, 7-10 days of broad-spectrum antibiotics; for refractory AD, 'triple therapy' has been advocated, although newer broad-spectrum antibiotics–eg, pipericillin, tazobactam, may be as effective; CT-guided drainage is advocated for peridiverticular abscesses of > 5 cm3; ±20% of Pts with AD require surgery; in Pts who respond to medical management, and in whom diverticular abscesses can be controlled by percutaneous drainage, a single-stage procedure with 1º anastomosis is appropriate, and can be performed by laparoscopy; in emergencies, a 2-stage procedure with resection and colostomy in stage one, and reanastomosis in stage 2 is preferred See Diverticular disease

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acute diverticulitis (redirected from Acute diverticulitis-pathogenesis)

Acute diverticulitis–pathogenesis

acute diverticulitis
(redirected from Acute diverticulitis-pathogenesis)