Acute diverticulitis may present with an abscess that is usually pericolonic or pelvic and can be treated with urgent surgery or percutaneous drainage. We present a case of a diverticular abscess presenting as a left inguinal hernia. [ncbi.nlm.nih.gov]

• Fever

  A 59-year-old woman with left lower abdominal pain and fever was admitted to our hospital. Abdominal computed tomography revealed diverticulitis with abscess formation. Colonoscopy revealed colonic inflammation with abscess caused by diverticulitis. [jstage.jst.go.jp]

  Fever is a typical feature (distinguishing from diverticular disease) Nausea, vomiting and anorexia may also be present Urinary symptoms may also be present due to subsequent inflammation of urinary structures. [dundeemedstudentnotes.wordpress.com]

  At times she had a fever of 102 F. during the episodes of pain. Menstruation had begun at the age of thirteen; the periods were always regular and lasted four days. The patient did not recall ever having had any unusual discharge. [pubs.rsna.org]

  Patient History A 73 year-old female presented to the emergency room with a 5-day history of left lower quadrant pain, fever and leukocytosis. [veranmedical.com]

  The clinical symptoms are nonspecific from fever and weight loss to abdominal pain. [karger.com]

• Weight Loss

  The clinical symptoms are nonspecific from fever and weight loss to abdominal pain. [karger.com]

  Other symptoms include nausea, loss of appetite, and weight loss. [msdmanuals.com]

  However, this is often difficult because the clinical presentation consistently has the usual markers for infection, such as fever and back pain ( 30% of cases). 2 Other generalized symptoms include nausea, weight loss, and abdominal pain. [pharmacytimes.com]

  Other symptoms may include nausea, anorexia, malaise, weight loss, and groin swelling. Physical Exam Maneuvers manipulating the inflamed psoas compartment result in pain on the affected side. [unboundmedicine.com]

• Malaise

  Diverticular Disease Condition where diverticula cause intermittent pain, but without any signs of acute infection or inflammation Diverticulitis Infection and inflammation of the diverticula, usually causing marked pain, fever and malaise. [dundeemedstudentnotes.wordpress.com]

  Specific symptoms of abdominal abscesses depend on the location of the abscess, but most people have constant discomfort or pain, feel generally sick (malaise), and often have a fever. [msdmanuals.com]

  Presentation is of LIF tenderness, possibly with fever and malaise. A tender mass may be palpated, indicating the presence of an inflammatory mass. There may be leukocytosis on FBC and an elevated CRP. [gponline.com]

  Other symptoms may include nausea, anorexia, malaise, weight loss, and groin swelling. Physical Exam Maneuvers manipulating the inflamed psoas compartment result in pain on the affected side. [unboundmedicine.com]

• Constitutional Symptom

  The drainage catheter should be removed when the output from the drain decreases and there are improved constitutional symptoms, clinical signs and inflammatory markers. [jmedicalcasereports.biomedcentral.com]

• Inguinal Mass

  Leaking abdominal aortic aneurysm presenting as an inguinal mass. Eur J Vas Surg. 1991; 5 (6):695–6. [ PubMed ] [ Google Scholar ] 10. Sellu DP. Pus in groin hernial sacs: a complication of non-generalised peritonitis. [ncbi.nlm.nih.gov]

• Abdominal Pain

  Abdominal CT scan is not always a definitive and absolute imaging modality for abdominal pain evaluation and cannot supplant clinical judgment in the evaluation of confusing cases. [ncbi.nlm.nih.gov]

  A 59-year-old woman with left lower abdominal pain and fever was admitted to our hospital. Abdominal computed tomography revealed diverticulitis with abscess formation. Colonoscopy revealed colonic inflammation with abscess caused by diverticulitis. [jstage.jst.go.jp]

  The clinical symptoms are nonspecific from fever and weight loss to abdominal pain. [karger.com]

  pain that may localise to the left iliac fossa. [dundeemedstudentnotes.wordpress.com]

  If you have significant abdominal pain, seek the advice of Dr. Fall. [fallgeneralsurgery.com]

• Constipation

  Pain may be brought on with eating and may be relieved by bowel movements Altered bowel habit- commonly constipation but diarrhoea can be a symptom Bloated feeling mucus discharge PR bleeding- usually fresh or mixed with the stool (haematochezia); can [dundeemedstudentnotes.wordpress.com]

  These pains were relieved by a bowel movement and were more severe when the patient was constipated. They were not, however, of sufficient severity to warrant her consulting a physician. [pubs.rsna.org]

  Diets low in fiber cause stool to be harder, and can lead to constipation. Constipation can cause repeated straining during bowel movements, and can increase the pressure in the colon, which can lead to the formation of diverticula. [onhealth.com]

  Fiber prevents constipation by making the stool soft and easier to pass. Constipation makes the muscles in the colon work strenuously to move the hard stool, which increases pressure. [charlottegastro.com]

  A high-fibre diet helps to prevent constipation and formation of diverticula. Exercising regularly and drinking enough water (up to 8 cups a day) are also recommended. [healthdirect.gov.au]

• Left Lower Quadrant Pain

  In addition, the left lower quadrant pain was more severe. The patient was well developed and well nourished and did not appear acutely ill. Temperature was 100 F.; pulse 90; blood pressure 140/80. [pubs.rsna.org]

  Patient History A 73 year-old female presented to the emergency room with a 5-day history of left lower quadrant pain, fever and leukocytosis. [veranmedical.com]

  Diverticulitis will present as a 67-year-old man with a long history of constipation presents with steady left lower quadrant pain. Physical exam reveals low-grade fever, mid-abdominal distention, and lower left quadrant tenderness. [smartypance.com]

  Signs and symptoms usually found The most common symptom of acute diverticulitis is left lower quadrant pain. Other common symptoms include low-grade fever, nausea, vomiting, constipation, and diarrhea. [clinicaladvisor.com]

  lower quadrant pain Possibly tender, palpable mass (pericolonic inflammation ) Change in bowel habits ( 50% constipation, 25–35% diarrhea ) Nausea and vomiting ; caused by bowel obstruction or ileus Urinary urgency and frequency ( 15% ) Acute abdomen [amboss.com]

• Acute Abdomen

  Diverticulosis involving the transverse colon, however, is a rare finding and a perforated diverticulum of thehepatic flexure is seldom considered in the differential diagnosis of acute abdomen. [sages.org]

  abdomen References: [5] [8] [9] We list the most important complications. [amboss.com]

  Infective complications according to duration of antibiotic treatment in acute abdomen. Int J Infect Dis 2004 ;8:155–162. Crossref, Medline, Google Scholar 619 Hughes MJ, Harrison E, Paterson-Brown S. [liebertpub.com]

• Hyperactive Bowel Sounds

  bowel sounds Absent bowel sounds (perforation) Generalized abdominal pain with rebound and guarding (perforation) Urinary tract findings (colovesicular/colovaginal fistula) include suprapubic, flank, costovertebral tenderness; pneumaturia (air in urine [emedicine.medscape.com]

• Night Sweats

  Other symptoms may include: Constipation Discharge of pus from the rectum Fatigue, fever, night sweats, and chills Redness, painful and hardened tissue in the area of the anus Tenderness In infants, the abscess often appears as a swollen, red, tender [medlineplus.gov]

  Her systemic review was insignificant for fever, night sweat, diarrhea, blood in stool, loss of weight, and poor appetite. Fig. 1. [karger.com]

• Meningism

  Psoas abscess, osteomyelitis, cord and nerve root compression, meningitis, and hydronephrosis have all been documented. Infection is usually advanced at presentation and all but 1 patient was taking immunosuppressive drugs. [ncbi.nlm.nih.gov]

  […] sinusitis 2016 2017 2018 2019 Billable/Specific Code Applicable To Antritis (chronic) Maxillary sinusitis NOS mediastinum J85.3 ICD-10-CM Diagnosis Code J85.3 Abscess of mediastinum 2016 2017 2018 2019 Billable/Specific Code meibomian gland - see Hordeolum meninges [icd10data.com]

• Pelvic Pain

  The most common symptoms of diverticulitis are abdominal or pelvic pain, abdominal tenderness and fever called simple diverticulitis. There can be several secondary complications of an attack of diverticulitis. [fascrs.org]

See Workup for more detail. Treatment of diverticulitis The management of patients with diverticulitis depends on their presentation severity, presence of complications, and comorbid conditions. [emedicine.medscape.com]

• Colonic Stricture

  Complications include diverticular haemorrhage, colonic diverticulitis (Table 2.2), abscess formation, perforation, fistula and colonic stricture formation (see Fig. 2.31). [europeanmedical.info]

  Colonic Stricture: repeated bouts of diverticulitis with the ensuing inflammation can cause narrowing of the colon that results in an obstruction and difficulty in passing bowel movements. [athensherniaclinic.com]

  A colonic stricture or fistula. A history of multiple attacks may result in a patient deciding to undergo surgery to prevent future attacks. Surgery for diverticular disease usually involves removal of the affected part of the colon. [fascrs.org]

  A blocked colon (bowel obstruction) or a narrow spot in the colon (stricture). Infection that has spread through the blood to other parts of the body (sepsis). [northshore.org]

  Complications of Diverticulitis Intraabdominal Abscess Free perforation and peritonitis Colonic stricture and bowel obstruction Enteric fistula (colovesical, colovaginal, colocutaneous) Small bowel obstruction Ureteric obstruction Diverticular Bleeding [clevelandclinicmeded.com]

Failure of initial treatment required urgent surgery in 8 patients with persistent symptoms during treatment with antibiotics alone (25 %) and in 21 patients (18 %) after initial percutaneous drainage (p 0.21). [ncbi.nlm.nih.gov]

Failure of initial treatment required urgent surgery in 8 patients with persistent symptoms during treatment with antibiotics alone (25 %) and in 21 patients (18 %) after initial percutaneous drainage ( p 0.21). [link.springer.com]

The prognosis varies if complications develop and is particularly serious in the case of peritonitis. About 90% of people who have a colon resection do not have symptoms return after the surgery. [drugs.com]

[…] gas and fluid into pelvis and peritoneal cavity abscess formation (seen in up to 30% of cases) may contain fluid, gas or both fistula formation (usually a chronic complication) gas in the bladder direct visualization of a fistulous tract Treatment and prognosis [radiopaedia.org]

Prognosis and Prevention Fortunately, colon abscess drainage and treatment is uncommon but possible with proper care. Most people who experience a colon abscess and receive proper treatment resume all normal activities within a few weeks. [lacolon.com]

Children have a favorable prognosis with prompt diagnosis and treatment. Complications Inadequate treatment associated with unfavorable outcomes. About 40% of patients require 1 drainage procedure for full recovery ( 5 ). [unboundmedicine.com]

“Prognosis in intra-abdominal infection: Multivariate analysis of 604 patients”. [cancertherapyadvisor.com]

Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. [books.google.com]

Pyogenic psoas abscess: worldwide variations in etiology. World J Surg. 1986;10(5);834-843. Krobot K, Yin D, Zhang Q, et al. [pharmacytimes.com]

[…] and Pathophysiology The exact etiology of diverticular disease is not known. [ahcmedia.com]

In conclusion, diverticular actinomycosis is a rare but often overlooked etiology for common conditions such as tuberculosis or carcinoma. [karger.com]

Etiology Caused mainly by lifestyle and environmental factors Increasing age Genetic factors Diet ( low-fiber, rich in fat and red meat) Obesity, low physical activity Cigarette consumption References: [2] [3] Classification Pathophysiology Diverticulosis [amboss.com]

Section 1: Epidemiology and aetiology Diverticular disease (or diverticulosis) refers to the presence of diverticulae within the GI tract. [gponline.com]

[1] [2] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]

Epidemiology and pathophysiology of diverticular disease. Clin Colon Rectal Surg. 2009;22(3):141-146. Pelaez N, Pera M, Courtier R, et al. [consultant360.com]

As diverticulosis occurs in an older population such complications are serious events. [ citation needed ] Epidemiology [ edit ] The prevalence of diverticulosis progressively increases with age. [en.wikipedia.org]

Epidemiological evaluation of colonic diverticulosis and dietary fiber in Japan. Tohoku J Exp Med. 1993;171:145-151. 9. Heaton KW, Thompson WG. Exercise and diverticular disease. BMJ. 1995;310:1332. 10. [pharmacytimes.com]

The pathophysiology that causes symptoms is poorly understood Damage to the vasa recta vessels may result in inflammation It has also been thought that obstruction of the diverticula with faecal matter can cause an acute inflammatory reaction. [dundeemedstudentnotes.wordpress.com]

In The Large Intestine Physiology, Pathophysiology and Disease, pp. 13-35 [SF Phillips, JH Pemberton and RG Shorter, editors]. New York: Raven Press. West, AB (2008). "The pathology of diverticulitis". [en.wikipedia.org]

Etiology Caused mainly by lifestyle and environmental factors Increasing age Genetic factors Diet ( low-fiber, rich in fat and red meat) Obesity, low physical activity Cigarette consumption References: [2] [3] Classification Pathophysiology Diverticulosis [amboss.com]

Epidemiology and pathophysiology of diverticular disease. Clin Colon Rectal Surg. 2009;22(3):141-146. Pelaez N, Pera M, Courtier R, et al. [consultant360.com]

Pathophysiology In an aging bowel that has naturally become weakened in certain areas over time, the movement of stool within the lumen will cause an increase in luminal pressure. [teachmesurgery.com]

Can Diverticular Disease Be Prevented? Diverticula are permanent once formed and can only be removed surgically. There is currently no treatment to prevent diverticular disease. [onhealth.com]

Rectal bleeding Formation of a narrowing of the colon that prevents easy passage of stool (called a stricture) Formation of a tract or tunnel to another organ or the skin (called a fistula). [fascrs.org]

A normal fiber diet is advisable to prevent constipation and perhaps prevent the formation of more diverticula. [medicinenet.com]

Diverticulitis The Best and Worst Foods for Managing or Preventing Diverticulitis Eating a diet high in fiber can help prevent diverticulitis. But it’s important to avoid fiber if you have the condition. [everydayhealth.com]

There are now studies negating the role of surgical resection to prevent recurrence of diverticulitis. [consultant360.com]