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Diverticulitis |
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diverticulitis /di·ver·tic·u·li·tis/ (-li´tis) inflammation of a diverticulum.
Diverticulitis A condition of the diverticulum of the intestinal tract, especially in the colon, where inflammation may cause distended sacs extending from the colon and pain. diverticulitis, n an inflammatory pouching of the intestinal wall. diverticulitis inflammation of a diverticulum, especially inflammation involving diverticula of the intestine. Weakness of the muscles of the bowel leads to the formation of diverticula, small blind pouches lined by intestinal mucosa in the lining and wall, usually following blood vessels. Inflammation may occur as a result of collections of bacteria or other irritating agents trapped in the pouches and perforation may occur. In horses and pigs these are associated with muscular hypertrophy of the small intestine. diverticulitis and ileitis see porcine intestinal adenomatosis. diverticulitis Surgery Inflammation of one or more diverticula which, when acute, may rupture causing peritonitis Clinical More common in the elderly; ± abrupt onset with tenderness in left hypogastrium, pain of variable severity may radiate to the back, rebound tenderness, fever, anorexia, constipation, GI tract discomfort, N&V Lab ↑ WBCs, left shift of myeloid series, ↑ ESR Diagnosis Hx, barium enema, ultrasound, sigmoidoscopy, colonoscopy Management-medical Oral antibiotics, low-fiber foods; for severe diverticulitis with high fever and pain, hospitalization, IV antibiotics Management-surgical Excision of bleeding diverticula or resection for persistent bowel obstruction or abscesses not responding to antibiotics Prognosis Pain waxes, wanes, spontaneously remits How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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