Diverticular Disease Flashcards
diverticuli are most common in the _______ but can be present over the ____ _____
They are most common in the sigmoid but can be present over the whole colon
it is associated with a low ______ ______
fibre intake
Asymptomatic in __% of cases
Asymptomatic in 95% of cases
what may be the PCs?
LIF pain/ tenderness
- septic
- altered bowel habit
how is a diagnosis made?
colonoscopy
what is the treatment for uncomplicated disease?
Well balanced diet (soluble and insoluble fibre) with smooth muscle relaxant if required
what is the treatment for complicated disease or if there is no improvement with diet?
surgery
what are the complications ? 5
- perforation
- abscess
- haemorrhage
- fistulae
- benign stricture
what are the symptoms if there is perforation? this is an emergency
ileus, peritonitis ±shock
what are the symptoms if there is abscess formation?
swinging fever, leukocytosis
what are the characteristics of haemorrhage ?
sudden and painless. Its a common cause of big rectal bleeds
name three fistulae that can form
enterocolic, colovaginal, colovesical
what would be the presentation with colovesical fistulae?
pneumaturia ± intractable UTIs
may have dysuria
where is the commonest site for perforation in the coln
sigmoid
what is the hartmann’s procedure and when may it be done
removal of the sigmoid, may be due to perforation