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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...

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Updated: May 18, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
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Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

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Diagnosing and managing acute diverticulitis.

David J Humes1

  • 1Nottingham Digestive Disease Centre and Biomedical Research Unit, Nottingham University Hospital NHS Trust, Nottingham, UK.

The Practitioner
|September 20, 2012
PubMed
Summary

Diverticulosis, a common colon issue in older adults, can lead to acute diverticulitis. Diagnosis of acute diverticulitis requires CT confirmation for effective management.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Diverticulosis is a prevalent colonic abnormality, affecting up to one-third of individuals over 60.
  • Complications of diverticulosis contribute significantly to mortality, with over 3,000 deaths annually.

Purpose of the Study:

  • To outline the clinical presentation and diagnostic approach for acute diverticulitis.
  • To differentiate between uncomplicated and complicated cases requiring hospitalization.

Main Methods:

  • Clinical assessment of patients presenting with abdominal pain suggestive of diverticulitis.
  • Diagnostic confirmation using CT scans for all new presentations upon hospital admission.

Main Results:

  • Acute diverticulitis, the most frequent complication, affects 10-25% of patients with diverticulosis.

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  • Symptoms include left iliac fossa pain, but can present atypically, mimicking other conditions.
  • Assessment guides management, with primary care for stable patients and hospital admission for sepsis or high-risk features.

    • Conclusions:

    • Prompt diagnosis and risk stratification are crucial for managing acute diverticulitis.
    • CT scan confirmation is essential for all new presentations of acute diverticulitis.
    • Appropriate patient selection for primary care versus hospital management improves outcomes.