BACKGROUND The incidence of diverticulosis and diverticular disease of the colon, including diverticulitis, is increasing worldwide, and becoming a significant burden on national health systems. Treatment of patients with diverticulosis and DD is generally based on high-fibre diet and antibiotics, respectively. However, new pathophysiological knowledge suggests that further treatment may be use...

Colocutaneous fistula caused by diverticulitis is relatively uncommon with colo-umbilical fistulas being even rarer. We herein report a rare case of a spontaneous colo-umbilical fistula due to diverticulitis of the sigmoid colon. The fistula developed from a diverticulum of the sigmoid colon that discharged through the umbilicus after two episodes of acute diverticulitis. The condition was succ...

Diverticular disease of the colon is a common gastrointestinal disorder, and its prevalence increases with age. Although present in perhaps two-thirds of the elderly, a large majority of patients with diverticular disease of the colon remain asymptomatic. Diverticulitis, the most common complication of diverticular disease of the colon, is a frequent challenge to the clinicians, especially in t...

PURPOSE The purpose of this study is to evaluate the value of nonoperative treatment for right-sided colonic diverticulitis. METHODS One hundred fifty-eight patients with right-sided colonic diverticulitis were evaluated. Clinical history, physical and radiologic findings, and treatments were reviewed retrospectively. Also, additional episodes and treatment modalities were checked. RESULTS ...

Introduction: There is a lack of information in the literature regarding acute appendicitis in the setting of acute diverticulitis. As acute appendicitis and acute diverticulitis together make up most community-acquired complicated intra-abdominal infections, it is very likely that the provider will encounter them in the patient presenting with abdominal pain. Case Description: We report a pati...

We present a case report of a patient with imaging findings of right colon diverticulitis that mimics colon cancer. The computed tomography showed a segment of narrowing with shoulder formation at ascending colon suggesting cancer. The colonoscopy and the follow-up imaging clarify the diagnosis of diverticulitis. We assess the value of computed tomography findings of acute diverticulitis in exc...

BACKGROUND Cecal diverticulitis is an uncommon cause of acute abdominal pain and presents clinically similar to acute appendicitis. There are many perspectives concerning the management of this condition, ranging from different types of surgical resections to conservative treatment with antibiotics. CASE REPORT We present 3 cases of cecal diverticulitis. One of the patients was treated conser...

Recurrence of acute diverticulitis is common, and—especially complicated recurrence—causes significant morbidity. To prevent recurrence, selected patients have been offered prophylactic sigmoid resection. However, as there is no tool to predict whose diverticulitis will recur and, in particular, who will have complicated recurrence, the indications for sigmoid resections have been variable. The...

Diverticulitis in the terminal ileum is uncommon. Past reports suggested that conservative therapy may be feasible to treat terminal ileum diverticulitis without perforation; however, there is no consensus on the therapeutic strategy for small bowel diverticulitis. We present a 37-year-old man who was referred to our hospital for sudden onset of abdominal pain and nausea. He was diagnosed with ...

The use of routine colonoscopy after an episode of acute diverticulitis (AD) remains a point of debate. Most international and clinical practice guidelines advise endoscopy after conservatively treated diverticulitis. The rationale has always been to exclude an underlying malignancy or advanced colonic neoplasia (ACN). However, this is based merely on expert opinion. A recent article indicated ...