eMedicine Specialties > Emergency Medicine > Gastrointestinal

Diverticular Disease: Multimedia

Author: Bennett Goss, MD, MPH, Chief Resident Physician, Department of Emergency Medicine, Long Island Jewish Medical Center, Albert Einstein College of Medicine
Coauthor(s): Gino A Farina, MD, Program Director, Associate Professor of Clinical Emergency Medicine, Department of Emergency Medicine, Long Island Jewish Medical Center, Albert Einstein College of Medicine
Contributor Information and Disclosures

Updated: Aug 17, 2009

Multimedia

Diverticulitis acute fatty stranding.Media file 1: Diverticulitis acute fatty stranding.
Diverticulitis acute fatty stranding.

Diverticulitis acute fatty stranding.

"Thumbprinting" (seen in left mid quadrant) on a...Media file 2: "Thumbprinting" (seen in left mid quadrant) on a plain abdominal radiograph.
"Thumbprinting" (seen in left mid quadrant) on a...

"Thumbprinting" (seen in left mid quadrant) on a plain abdominal radiograph.

"Thumbprinting" (seen in left mid quadrant) on a...Media file 3: "Thumbprinting" (seen in left mid quadrant) on a plain abdominal radiograph (close-up image).
"Thumbprinting" (seen in left mid quadrant) on a...

"Thumbprinting" (seen in left mid quadrant) on a plain abdominal radiograph (close-up image).

Thickening of the bowel wall in the descending co...Media file 4: Thickening of the bowel wall in the descending colon due to bowel edema can be seen in the left lower quadrant on this plain abdominal radiograph. Note the narrowed colonic lumen. Note the CT scan images in this article are from the same 62-year-old patient with diverticulitis.
Thickening of the bowel wall in the descending co...

Thickening of the bowel wall in the descending colon due to bowel edema can be seen in the left lower quadrant on this plain abdominal radiograph. Note the narrowed colonic lumen. Note the CT scan images in this article are from the same 62-year-old patient with diverticulitis.

Thickening of the bowel wall in the descending co...Media file 5: Thickening of the bowel wall in the descending colon due to bowel edema can be seen in the left lower quadrant on this plain abdominal radiograph. Note the narrowed colonic lumen. Note the CT scan images in this article are from the same 62-year-old patient with diverticulitis.
Thickening of the bowel wall in the descending co...

Thickening of the bowel wall in the descending colon due to bowel edema can be seen in the left lower quadrant on this plain abdominal radiograph. Note the narrowed colonic lumen. Note the CT scan images in this article are from the same 62-year-old patient with diverticulitis.

Thickening of the bowel wall in the descending co...Media file 6: Thickening of the bowel wall in the descending colon due to bowel edema can be seen in the left lower quadrant on this CT scan. Note the narrowed colonic lumen (contrast in the lumen is white). Note the hypodense (dark) spot in the bottom right of the edematous colonic wall; this spot is an abscess that is forming within the bowel wall in a 62-year-old patient with diverticulitis.
Thickening of the bowel wall in the descending co...

Thickening of the bowel wall in the descending colon due to bowel edema can be seen in the left lower quadrant on this CT scan. Note the narrowed colonic lumen (contrast in the lumen is white). Note the hypodense (dark) spot in the bottom right of the edematous colonic wall; this spot is an abscess that is forming within the bowel wall in a 62-year-old patient with diverticulitis.

Sigmoid diverticulitis in a 50-year-old man with ...Media file 7: Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness.
Sigmoid diverticulitis in a 50-year-old man with ...

Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness.

Thickening of the bowel wall in the descending co...Media file 8: Thickening of the bowel wall in the descending colon due to bowel edema can be seen in the left lower quadrant on this CT scan. Note the narrowed colonic lumen (contrast in the lumen is white). Note the hypodense (dark) spot in the bottom right of the edematous colonic wall; this spot is an abscess that is forming within the bowel wall in a 62-year-old patient with diverticulitis.
Thickening of the bowel wall in the descending co...

Thickening of the bowel wall in the descending colon due to bowel edema can be seen in the left lower quadrant on this CT scan. Note the narrowed colonic lumen (contrast in the lumen is white). Note the hypodense (dark) spot in the bottom right of the edematous colonic wall; this spot is an abscess that is forming within the bowel wall in a 62-year-old patient with diverticulitis.

Sigmoid diverticulitis in a 50-year-old man with ...Media file 9: Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness. Media files 9-12 are sections from the same patient.
Sigmoid diverticulitis in a 50-year-old man with ...

Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness. Media files 9-12 are sections from the same patient.

Sigmoid diverticulitis in a 50-year-old man with ...Media file 10: Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness. Media files 9 and 11-12 are sections from the same patient.
Sigmoid diverticulitis in a 50-year-old man with ...

Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness. Media files 9 and 11-12 are sections from the same patient.

Phlegmon. Sigmoid diverticulitis in a 50-year-old...Media file 11: Phlegmon. Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness. Images 11-12 are consecutive sections of the patient in Media files 9-10 showing a phlegmon.
Phlegmon. Sigmoid diverticulitis in a 50-year-old...

Phlegmon. Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness. Images 11-12 are consecutive sections of the patient in Media files 9-10 showing a phlegmon.

Phlegmon. Sigmoid diverticulitis in a 50-year-old...Media file 12: Phlegmon. Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness. Media files 9-11 are sections from the same patient.
Phlegmon. Sigmoid diverticulitis in a 50-year-old...

Phlegmon. Sigmoid diverticulitis in a 50-year-old man with history of diverticulosis and left lower abdominal pain and tenderness. Media files 9-11 are sections from the same patient.

More on Diverticular Disease

Overview: Diverticular Disease
Differential Diagnoses & Workup: Diverticular Disease
Treatment & Medication: Diverticular Disease
Follow-up: Diverticular Disease
Multimedia: Diverticular Disease
References

References

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Further Reading

Keywords

diverticular disease, diverticulitis, acute diverticulitis, diverticulosis, lower gastrointestinal bleeding, lower GI bleeding, Meckel iliac diverticulum, congenital diverticula, peridiverticular inflammation, tenesmus, recurrent urinary tract infections, colovesicular fistulas, pneumaturia, feculent vaginal discharge, low-fiber diet, high fat diets, beefdiets, colonic segmentation, defects in colonic wall strength

Contributor Information and Disclosures

Author

Bennett Goss, MD, MPH, Chief Resident Physician, Department of Emergency Medicine, Long Island Jewish Medical Center, Albert Einstein College of Medicine
Bennett Goss, MD, MPH is a member of the following medical societies: American College of Emergency Physicians, American College of Physicians, American Medical Association, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Gino A Farina, MD, Program Director, Associate Professor of Clinical Emergency Medicine, Department of Emergency Medicine, Long Island Jewish Medical Center, Albert Einstein College of Medicine
Gino A Farina, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Medical Editor

Steven A Conrad, MD, PhD, Chief, Department of Emergency Medicine; Chief, Multidisciplinary Critical Care Service, Professor, Department of Emergency and Internal Medicine, Louisiana State University Health Sciences Center
Steven A Conrad, MD, PhD is a member of the following medical societies: American College of Chest Physicians, American College of Critical Care Medicine, American College of Emergency Physicians, American College of Physicians, International Society for Heart and Lung Transplantation, Louisiana State Medical Society, Shock Society, Society for Academic Emergency Medicine, and Society of Critical Care Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Eugene Hardin, MD, FAAEM, FACEP, Former Chair and Associate Professor, Department of Emergency Medicine, Charles Drew University of Medicine and Science; Former Chair, Department of Emergency Medicine, Martin Luther King Jr/Drew Medical Center
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Barry E Brenner, MD, PhD, FACEP, Professor of Emergency Medicine, Professor of Internal Medicine, Program Director, Emergency Medicine, University Hospitals, Case Medical Center
Barry E Brenner, MD, PhD, FACEP is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Chest Physicians, American College of Emergency Physicians, American College of Physicians, American Heart Association, American Thoracic Society, Arkansas Medical Society, New York Academy of Medicine, New York Academy of Sciences, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

 
 
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