Surgery Definition – What is diverticulitis?
Surgery Definition – What is diverticulitis?
Diverticulitis is well known as left sided appendicitis.Diverticulitis is the inflammation of one or more of the diverticulae. Patient with diverticulitis may present with fever, malaise, left iliac fossa pain with or without diarrhea, nausea, vomiting and dysuria in the case where the diverticulum which is inflamed rest on the bladder or ureter.
Patient with diverticulitis may appear ill looking, sweating and febrile, tachycardic, locallised rebound tenderness and guarding in the left iliac fossa.
Full blood count may reveal leukocytosis and imaging technique may reveal abdominal x ray and chest x ray. Abdominal x ray may show the bowel which is partially obstructed. Chest x ray may reveal the present of air under the diaphragm in case of perforation of diverticulum which is inflamed. Barium enema is avoided as It may lead to high risk of perforation of the inflamed bowel. Colonoscopy is also avoided as spasm of the inflamed bowel may lead to perforation.
The management of uncomplicated diverticulitis include admission of the patient, administration of the IV fluid, intravenous antibiotic in the form of cefuroxime, gentamicin and metronidazole, analgesia and regular monitoring of the vital signs or complications.
The complication of diverticulitis may include perforation which result in peritonitis, diverticular abscess, fistula, stenosis which lead to obstruction.
Diverticulitis is well known as left sided appendicitis.Diverticulitis is the inflammation of one or more of the diverticulae. Patient with diverticulitis may present with fever, malaise, left iliac fossa pain with or without diarrhea, nausea, vomiting and dysuria in the case where the diverticulum which is inflamed rest on the bladder or ureter.
Patient with diverticulitis may appear ill looking, sweating and febrile, tachycardic, locallised rebound tenderness and guarding in the left iliac fossa.
Full blood count may reveal leukocytosis and imaging technique may reveal abdominal x ray and chest x ray. Abdominal x ray may show the bowel which is partially obstructed. Chest x ray may reveal the present of air under the diaphragm in case of perforation of diverticulum which is inflamed. Barium enema is avoided as It may lead to high risk of perforation of the inflamed bowel. Colonoscopy is also avoided as spasm of the inflamed bowel may lead to perforation.
The management of uncomplicated diverticulitis include admission of the patient, administration of the IV fluid, intravenous antibiotic in the form of cefuroxime, gentamicin and metronidazole, analgesia and regular monitoring of the vital signs or complications.
The complication of diverticulitis may include perforation which result in peritonitis, diverticular abscess, fistula, stenosis which lead to obstruction.
