diverticulitis
DIVERTICULITIS
Diverticulitis is the acute inflammation of the diverticulum or saclike protrusion from the wall of the intestines caused by injury and bacterial proliferation. 
Abdominal pain is usually localized to the left lower quadrant, is abrupt, steady, severe and worsens over time.
Other signs and symptoms are fever, anorexia, nausea, vomiting, and altered bowel movements especially constipation but may also present with diarrhea or tenesmus.

Definition

Diverticulitis: Inflammation of ≥1 diverticula

  • Diverticula: Herniation of the mucosa & submucosa of the colonic wall that may fill with fecal material or undigested food particles

Signs and Symptoms

  • Abdominal pain which is usually localized, abrupt, steady & may worsen over time
    • In Asians, right-sided diverticulitis is more common & is an important differential diagnosis that may be confused with appendicitis
    • Left-sided diverticulitis commonly involves the sigmoid colon & presents as left lower quadrant pain
  • Fever
  • Anorexia
  • Nausea & vomiting (N/V)
  • Altered bowel habits, commonly constipation but may also present with diarrhea or tenesmus
  • The following may suggest complicated diverticulitis:
    • Severe, generalized abdominal pain may be due to peritonitis
    • Purulent or fecaloid vaginal discharge in patients with colovaginal fistulas
    • Fecaluria or pneumaturia in patients with colovesicular fistulas
    • Back or lower extremity pain in cases of retroperitoneal gut perforation
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Gastroenterology - Malaysia digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
Elvira Manzano, 3 days ago
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
Pearl Toh, 13 Oct 2017
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
5 days ago
Second eye cataract surgery provides greater improvement in visual function and quality of life compared with first eye cataract surgery alone, a recent study claims.
4 days ago
The size and shape of a person’s face may predict sex drive and intended infidelity, research has shown.