Diverticular Haemorrhage and Perforation Flashcards
1
Q
How does a diverticular haemorrhage usually present?
A
Painless, spontaneous bleeding
- Meleana if high up
- Haematochezia if lower down
2
Q
Initial investigation?
A
Colonoscopy
CT
Angiography to localise bleeding points
3
Q
What is the treatment for diverticular haemorrhage?
A
Embolisation OR
Resection
4
Q
What should be done if it is a large bleed?
A
Blood transfusion
5
Q
What surgical management can be done for a large perforation?
A
Hartmans procedure
- Colostomy and colectomy
6
Q
What is the mortality of diverticular perforation?
A
40%
