Acute diverticulitis

Question 1

How does acute diverticulitis present?

Answer 1

1. Left illiac fossa pain
2. Fever
3. Diarrhea
4. Nausea and vomiting
5. blood/mucus PR

Question 2

Ix of choice in diverticulitis?

Answer 2

CT - confirms diagnosis

- avoid colonoscopy/enema and this can cause perforation

Question 3

Mx of Diverticulitis

Answer 3

1. Fluid resuscitation
2. Analgesia
3. Antibiotics

Question 4

What is the Hartman’s procedure and when is it indicated?

Answer 4

1. peritonitis occurs

2. initial resection and then reanastomosis once infection has resolved