Last Updated: 2013-07-18
Usually asymptomatic; may have constipation or nonspecific abdominal symptoms.
Symptomatic acute diverticulitis presents with fever, leukocytosis, and left lower quadrant pain.
Contrast enema and colonoscopy are common diagnostic tests; CT scan when diagnosis unclear.
Treatment includes bowel rest, antibiotics, and surgical intervention.
Complications include bleeding, segmental colitis, perforation, abscess, fistulas, and obstruction.
Acute bleeding managed by IV fluids or blood transfusion, and radiologically directed hemostasis (embolization).
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