Diverticular disease

• What does diverticular disease consist of?


  Herniation of colonic mucosa through the muscular wall of the colon
• What is often spared in diverticular disease?


  Rectum
• What are some symptoms of diverticular disease?


  Alterned bowel habit

  Rectal bleeding

  Abdo pain
• What imaging is done to diagnose diverticular disease?


  Colonoscopy

  CT cologram

  Barium enema
• Fill in the gaps

  A) Para-colonic abscess

  B) Pelvic abscess

  C) Purulent peritonitis

  D) Faecal peritonitis

  
• How is diverticular disease managed conservatively?


  Antibiotics
• How should peri colonic abscesses be managed?


  Drained - surgically or radiologically
• How is recurrent episodes of acute diverticulitis (requiring hospitalisation) managed?


  Segmental resection
• How is Hinchey IV perforations (fecal peritonitis) managed?


  Resection -> stoma
• How are less severe perforations managed?


  Laparoscopic washout + drain insertion