Diverticulitis

diverticulitis, colonicinflamed colonintestinal disordersigmoid diverticulitis
Diverticulitis, specifically colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—which can develop in the wall of the large intestine.wikipedia
183 Related Articles

Constipation

constipatedobstipationchronic constipation
There may also be nausea; and diarrhea or constipation.
Underlying associated diseases include hypothyroidism, diabetes, Parkinson's disease, celiac disease, non-celiac gluten sensitivity, colon cancer, diverticulitis, and inflammatory bowel disease.

Diverticulosis

Colonic diverticulaDiverticular diseasediverticulosis, colonic
Having pouches in the large intestine that are not inflamed is known as diverticulosis.
Diverticular disease occurs when diverticula become inflamed, known as diverticulitis, or bleed.

Blood in stool

blood in the stoolbloody stoolbloody stools
Fever or blood in the stool suggests a complication.
Diverticulitis and diverticulosis result from an out pouching of the colonic mucosa, or gut wall, leading to a break down of weak gut wall and an increased susceptibility to infection due to the bacteria in the GI tract, thus the potential for vascular compromise, the collection of bacteria in the area of perforation (abscess), the abnormal formation of communication between another part of the hollow GI tract (fistula), or blockage of the bowel (obstruction).

Gastrointestinal disease

gastrointestinal disordersgastrointestinal disordergastrointestinal symptom
Diverticulitis, specifically colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—which can develop in the wall of the large intestine.
Diverticulitis is a common cause of abdominal pain resulting from outpouchings that particularly affects the colon.

Inflammation

inflammatoryinflammatory responseinflamed
Diverticulitis, specifically colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—which can develop in the wall of the large intestine.
Diverticulitis

Hinchey Classification

The severity of diverticulitis can be radiographically graded by the Hinchey Classification.
Hinchey Classification is used to describe perforations of the colon due to diverticulitis.

Peritonitis

pelvic peritonitisacute peritonitiscomplication
If the infection spreads to the lining of the abdominal cavity (the peritoneum), peritonitis results.
The localization of these manifestations depends on whether peritonitis is localized (e.g., appendicitis or diverticulitis before perforation), or generalized to the whole abdomen.

Bowel obstruction

intestinal obstructionobstructionsmall bowel obstruction
Sometimes, inflamed diverticula can cause narrowing of the bowel, leading to an obstruction.
Causes of bowel obstruction include adhesions, hernias, volvulus, endometriosis, inflammatory bowel disease, appendicitis, tumors, diverticulitis, ischemic bowel, tuberculosis and intussusception.

Low-fiber/low-residue diet

low fiber dietlow residue dietlow fiber
People may be placed on a low fibre diet.
The diet may be used as part of the bowel preparation before a diagnostic procedure such as colonoscopy or as a short-term therapy for acute stages of gastrointestinal illnesses such as Crohn's disease, diverticulitis, bowel obstruction, and ulcerative colitis.

Quadrant (abdomen)

right upper quadrantleft lower quadrantright lower quadrant
Diverticulitis typically presents with left lower quadrant abdominal pain of sudden onset.
If abdominal pain or signs of peritonitis are localised in the LLQ, colitis, diverticulitis, ureteral colic or pain due to ovarian cysts or pelvic inflammatory disease may be suspected.

Abdominal pain

stomach acheupset stomachstomachache
About 10% of people have a more serious underlying condition such as appendicitis, leaking or ruptured abdominal aortic aneurysm, diverticulitis, or ectopic pregnancy.

Colectomy

right hemicolectomycolon resectionhemicolectomy
The traditional bowel resection is made using an open surgical approach, called colectomy.
Diverticulitis and diverticular disease of the large intestine

Gastrointestinal tract

intestinegastrointestinaldigestive tract
Sometimes, inflamed diverticula can cause narrowing of the bowel, leading to an obstruction.
Once the pouches become inflamed it is known as diverticulitis.

Colostomy

colostomiesfecal diversionostomies
Diverticulitis surgery consists of a bowel resection with or without colostomy.
A section of the colon has been removed, e.g. due to colon cancer requiring a total mesorectal excision, diverticulitis, injury, etc., so that it is no longer possible for feces to exit via the anus.

Diverticulum

diverticuladiverticulatediverticulae
Diverticulitis, specifically colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—which can develop in the wall of the large intestine.
Colonic diverticula: These can become infected (see diverticulitis) and can perforate, requiring surgery

Gastrointestinal perforation

perforationbowel perforationintestinal perforation
The cause can include trauma such as from a knife wound, eating a sharp object, or a medical procedure such as colonoscopy, bowel obstruction such as from a volvulus, colon cancer, or diverticulitis, stomach ulcers, ischemic bowel, and a number of infections including C. difficile.

Hartmann's operation

Hartmann's procedure
Also known as the Hartmann's operation, this is a more complicated surgery typically reserved for life-threatening cases.
It was used to treat colon cancer or inflammation (proctosigmoiditis, proctitis, diverticulitis, etc.).

General surgery

general surgeongeneralgeneral surgical
General surgeons treat a wide variety of major and minor colon and rectal diseases including inflammatory bowel diseases (such as ulcerative colitis or Crohn's disease), diverticulitis, colon and rectal cancer, gastrointestinal bleeding and hemorrhoids.

Nausea

nauseousvomitingfeeling of sickness
There may also be nausea; and diarrhea or constipation.

Diarrhea

diarrhoeadiarrheal diseaseschronic diarrhea
There may also be nausea; and diarrhea or constipation.

Obesity

obesemorbidly obeseoverweight
Risk factors may include obesity, lack of exercise, smoking, a family history of the disease, and use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Smoking

smokersmokesmokers
Risk factors may include obesity, lack of exercise, smoking, a family history of the disease, and use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Nonsteroidal anti-inflammatory drug

non-steroidal anti-inflammatory drugNSAIDsnonsteroidal anti-inflammatory drugs
Risk factors may include obesity, lack of exercise, smoking, a family history of the disease, and use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Pathogenic bacteria

bacterial infectionbacterial infectionsbacterial
Inflammation occurs in between 10% and 25% at some point in time, and is due to a bacterial infection.

CT scan

computed tomographyCTcomputerized tomography
Diagnosis is typically by CT scan, though blood tests, colonoscopy, or a lower gastrointestinal series may also be supportive.