eMedicine Specialties > Radiology > Gastrointestinal
Colon, Diverticulitis: Follow-up
Updated: Aug 24, 2009
Intervention
Treatment in patients with acute diverticulitis varies with the severity and type of the disease.21,22 Antibiotic therapy may be adequate for treating mild cases of diverticulitis. Percutaneous drainage with CT or ultrasonographic guidance may be used in patients with large diverticular abscesses. Approximately 20% of patients with diverticulitis require surgical treatment.8 Surgery may be necessary to treat abscesses; fistulas; free perforations; bowel obstructions; and, occasionally, hemorrhage.23
More on Colon, Diverticulitis |
| Overview: Colon, Diverticulitis |
| Imaging: Colon, Diverticulitis |
Follow-up: Colon, Diverticulitis |
| Multimedia: Colon, Diverticulitis |
| References |
| Further Reading |
| « Previous Page | Next Page » |
References
Balthazar EJ. Diverticular disease. In: Textbook of Gastrointestinal Radiology. WB Saunders Co;1994: 1072-97.
Tonelli F, Di Carlo V, Liscia G, Serventi A. [Diverticular disease of the colon: diagnosis and treatment. Consensus Conference, 5th National Congress of the Italian Society of Academic Surgeons]. Ann Ital Chir. Jan-Feb 2009;80(1):3-8. [Medline].
Sarma D, Longo WE. Diagnostic imaging for diverticulitis. J Clin Gastroenterol. Nov-Dec 2008;42(10):1139-41. [Medline].
Sheiman L, Levine MS, Levin AA, Hogan J, Rubesin SE, Furth EE, et al. Chronic diverticulitis: clinical, radiographic, and pathologic findings. AJR Am J Roentgenol. Aug 2008;191(2):522-8. [Medline].
Panghaal VS, Chernyak V, Patlas M, Rozenblit AM. CT features of adnexal involvement in patients with diverticulitis. AJR Am J Roentgenol. Apr 2009;192(4):963-6. [Medline].
Beuran M, Iordache F, Chiotoroiu AL, Teleanu G, Vartic M, Turculet C, et al. Complicated diverticular disease--our recent experience. Chirurgia (Bucur). Jan-Feb 2009;104(1):25-9. [Medline].
Heise CP. Epidemiology and Pathogenesis of Diverticular Disease. J Gastrointest Surg. Feb 16 2008;[Medline].
Belmonte C, Klas JV, Perez JJ, et al. The Hartmann procedure. First choice or last resort in diverticular disease?. Arch Surg. Jun 1996;131(6):612-5; discussion 616-7. [Medline].
Tursi A, Brandimarte G, Giorgetti G, Elisei W, Maiorano M, Aiello F. The Clinical Picture of Uncomplicated Versus Complicated Diverticulitis of the Colon. Dig Dis Sci. Jan 30 2008;[Medline].
Stefansson T, Nyman R, Nilsson S, et al. Diverticulitis of the sigmoid colon. A comparison of CT, colonic enema and laparoscopy. Acta Radiol. Mar 1997;38(2):313-9. [Medline].
Rao PM, Rhea JT, Novelline RA, et al. Helical CT with only colonic contrast material for diagnosing diverticulitis: prospective evaluation of 150 patients. AJR Am J Roentgenol. Jun 1998;170(6):1445-9. [Medline].
Jang HJ, Lim HK, Lee SJ, et al. Acute diverticulitis of the cecum and ascending colon: the value of thin-section helical CT findings in excluding colonic carcinoma. AJR Am J Roentgenol. May 2000;174(5):1397-402. [Medline].
Horton KM, Corl FM, Fishman EK. CT evaluation of the colon: inflammatory disease. Radiographics. Mar-Apr 2000;20(2):399-418. [Medline].
Rao PM, Rhea JT. Colonic diverticulitis: evaluation of the arrowhead sign and the inflamed diverticulum for CT diagnosis. Radiology. Dec 1998;209(3):775-9. [Medline].
Cho KC, Morehouse HT, Alterman DD, Thornhill BA. Sigmoid diverticulitis: diagnostic role of CT--comparison with barium enema studies. Radiology. Jul 1990;176(1):111-5. [Medline].
Chintapalli KN, Chopra S, Ghiatas AA, et al. Diverticulitis versus colon cancer: differentiation with helical CT findings. Radiology. Feb 1999;210(2):429-35. [Medline].
Hollerweger A, Rettenbacher T, Macheiner P, et al. Sigmoid diverticulitis: value of transrectal sonography in addition to transabdominal sonography. AJR Am J Roentgenol. Oct 2000;175(4):1155-60. [Medline].
Kori T, Nemoto M, Maeda M, et al. Sonographic features of acute colonic diverticulitis: the "dome sign". J Clin Ultrasound. Sep 2000;28(7):340-6. [Medline].
Oudenhoven LF, Koumans RK, Puylaert JB. Right colonic diverticulitis: US and CT findings--new insights about frequency and natural history. Radiology. Sep 1998;208(3):611-8. [Medline].
Pradel JA, Adell JF, Taourel P, et al. Acute colonic diverticulitis: prospective comparative evaluation with US and CT. Radiology. Nov 1997;205(2):503-12. [Medline].
Hussain A, Mahmood H, Subhas G, El-Hasani S. Complicated diverticular disease of the colon, do we need to change the classical approach, a retrospective study of 110 patients in southeast England. World J Emerg Surg. 2008;3:5. [Medline].
Peppas G, Bliziotis IA, Oikonomaki D, Falagas ME. Outcomes after medical and surgical treatment of diverticulitis: a systematic review of the available evidence. J Gastroenterol Hepatol. Sep 2007;22(9):1360-8. [Medline].
Kassab A, El-Bialy G, Hashesh H, Callen P. Magnetic resonance imaging and hysteroscopy to diagnose colo-uterine fistula: A rare complication of diverticulitis. J Obstet Gynaecol Res. Feb 2008;34(1):117-20. [Medline].
Further Reading
Related eMedicine topics
Diverticular Disease (Emergency Medicine)
Diverticulitis (Gastroenterology)
Clinical guidelines
Practice parameters for sigmoid diverticulitis
Surgical treatment of diverticulitis
ACR Appropriateness Criteria® left lower quadrant pain
ACR Appropriateness Criteria® acute abdominal pain and fever or suspected abdominal abscess
Clinical trials
Study to Evaluate the Duration of Treatment With Ertapenem in Acute Attacks of Sigmoid Diverticulitis.
Prevention of Recurrence of Diverticulitis
Keywords
diverticulitis, diverticulum, diverticulosis, diverticular disease, diverticular disease of the colon, outpouching, diverticula, colonic diverticula, intestinal disease, diverticular hemorrhage, bowel obstruction, gastrointestinal hemorrhage, GI tract hemorrhage
Follow-up: Colon, Diverticulitis