eMedicine Specialties > Radiology > Gastrointestinal

Colon, Diverticulitis: Follow-up

Author: Sandor Joffe, MD, Section Chief of Abdominal Imaging, Department of Radiology, Beth Israel Medical Center
Coauthor(s): Aspasia Kachulis, MD, Body Imaging Fellow, Department of Radiology, Beth Israel Medical Center
Contributor Information and Disclosures

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

References

  1. Balthazar EJ. Diverticular disease. In: Textbook of Gastrointestinal Radiology. WB Saunders Co;1994: 1072-97.

  2. 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].

  3. Sarma D, Longo WE. Diagnostic imaging for diverticulitis. J Clin Gastroenterol. Nov-Dec 2008;42(10):1139-41. [Medline].

  4. 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].

  5. 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].

  6. 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].

  7. Heise CP. Epidemiology and Pathogenesis of Diverticular Disease. J Gastrointest Surg. Feb 16 2008;[Medline].

  8. 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].

  9. 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].

  10. 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].

  11. 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].

  12. 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].

  13. Horton KM, Corl FM, Fishman EK. CT evaluation of the colon: inflammatory disease. Radiographics. Mar-Apr 2000;20(2):399-418. [Medline].

  14. 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].

  15. 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].

  16. 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].

  17. 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].

  18. 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].

  19. 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].

  20. 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].

  21. 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].

  22. 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].

  23. 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].

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

Contributor Information and Disclosures

Author

Sandor Joffe, MD, Section Chief of Abdominal Imaging, Department of Radiology, Beth Israel Medical Center
Sandor Joffe, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Coauthor(s)

Aspasia Kachulis, MD, Body Imaging Fellow, Department of Radiology, Beth Israel Medical Center
Aspasia Kachulis, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

John L Haddad, MD, Clinical Associate Professor, Department of Radiology, Weill Medical College of Cornell University; Director of Body MRI, Department of Radiology, Methodist Hospital in Houston
John L Haddad, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Spencer B Gay, MD, Professor of Radiology, Director of Body Computed Tomography, Department of Radiology, University of Virginia Health Sciences Center
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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