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Diverticulum |
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diverticulumSmall pouch or sac formed in the wall of a major organ, usually the esophagus, small intestine, or large intestine (the most frequent site of problems). In the large intestine, feces pushed into a pouch can make it bulge out from the colon wall, a condition known as diverticulosis, which has no symptoms. In the more serious condition called diverticulitis, those sacs become inflamed, causing pain and tenderness, chills, and sometimes fever. Mild cases need only bed rest and antibiotics. In severe cases, perforation or rupture of the colon wall at the diverticulum can cause peritonitis. Rupture may require colostomy. Meckel diverticulum, a congenital malformation of the upper intestine that causes bleeding and inflammation, may require surgical removal. diverticulum [‚dī·vər′tik·yə·ləm] (medicine) An abnormal outpocketing or sac on the wall of a hollow organ. Diverticulum a pouch formed by the congenital or acquired protrusion of the wall of a tubular organ in man. Most frequently encountered are diverticula of the esophagus or urinary bladder and more rarely, of the duodenum or stomach. Congenital diverticula are associated with defects in the development of the organ. Acquired diverticula arise as a result of pressure from the organ cavity on its wall, which has been weakened either by a pathological process (trauma, inflammation), or they may result from congenital muscular weakness of the wall (pouch-like protrusion). Diverticula may develop when diseases of neighboring organs result in a pulling on the organ wall by cicatrices and adhesions (funnel-shaped protrusion). After it has entered a diverticulum, the content of an organ is retained there for some time; later the diverticulum is evacuated. The diverticulum gradually stretches and becomes enlarged, and evacuation becomes difficult. The stagnant content irritates the mucous membrane of the diverticulum and becomes infected. Inflammation of the walls of the diverticulum develops—diverticulitis (catarrhal, ulcerative, or phlegmonous; perforation of the diverticulum is possible). A diverticulum of the esophagus may manifest itself by difficulty of food passage and vomiting and a diverticulum of the urinary bladder, by difficulty in urinating. An intestinal diverticulum sometimes causes obstruction. Treatment depends on the site and the course of the illness; in some cases surgery is necessary. Want to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit the webmaster's page for free fun content. |
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