Men who already had a diagnosis of diverticulitis
, associated complications, inflammatory bowel disease, or a GI-related cancer at baseline were excluded from this analysis, leaving 46,461 eligible subjects.
The men completed dietary questionnaires every four years during this time frame, which saw the onset of 764 cases of diverticulitis
The patient presented with right lower quadrant abdominal pain and tenderness that was demonstrated on CT scan to be due to right-sided diverticulitis
with a perforated diverticulum.
Common complications of diverticulitis
include perforation, abscess and phlegmon formation with perforation resulting in significant morbidity and mortality to patients.
A 59-year-old male with a 4-year history of recurrent diverticulitis
was treated with Ciprofloxacin/Flagyl as an outpatient.
Caption: FIGURE 4: CT abdomen showing evidence of cecal diverticulitis
These were suggestive of subclinical and clinical diverticulitis
and misdiagnosed for such a long period of time.
Differential diagnosis of left-sided abdominal pain: primary epiploic appendagitis vs colonic diverticulitis
. World J Gastroenterol 2013 Oct; 19(40):6842-6848.
All CT findings confirmed the diagnosis of right-sided diverticulitis
. After 4 days rest, fasting, intravenous hydration, and antibiotics administration, including ampicillin 1 g every 6 h, metronidazole 500 mg every 8 h, and ceftriaxone 1 g every 12 h, her abdominal pain dramatically improved.
Following USG, the patient was referred to computed tomography (CT) with the preliminary diagnosis of sigmoid diverticulitis
. CT showed a pericolic oval lesion of fat attenuation with a hyper-attenuating ring and central dot sign in the same region that was diagnostic for epiploic appendagitis (EA); (Figure 2).
The classic teaching has been to advise patients who have had diverticulitis
to avoid high-residue foods such as nuts, seeds, and popcorn.