OBJECTIVE This study was done to determine if the detection of pericolic lymph nodes on CT scans could be used to differentiate cancer of the colon from diverticulitis. MATERIALS AND METHODS We retrospectively evaluated 58 CT scans from 57 patients with proven diverticulitis or cancer of the colon. The CT scans were evaluated by five board-certified radiologists who were unaware of the proven...

Colonic diverticulosis is a common condition in the Western world and its incidence increases substantially with age. It was estimated that in patients older than age 60 years, 50% have diverticulosis [1,2]. Surgeons’ interest for this disease is related to the treatment of the complications of diverticulitis (perforation, occlusion, bleeding). About 25% of patients hospitalized for diverticuli...

CONTEXT Patients with diverticular disease are frequently advised to avoid eating nuts, corn, popcorn, and seeds to reduce the risk of complications. However, there is little evidence to support this recommendation. OBJECTIVE To determine whether nut, corn, or popcorn consumption is associated with diverticulitis and diverticular bleeding. DESIGN AND SETTING The Health Professionals Follow-...

Diverticular disease is frequent amongst the elderly and immunosuppressed patients. It mainly presents as sigmoid diverticulitis, but severe complications, like bleedings, infections and colon perforation may occur, frequently due to immunosuppressive therapy. Moreover, antibiotherapy and hemostatics may not efficiently control evolution in such cases. Early diagnose and adequate treatment of c...

INTRODUCTION Appendicular diverticula and associated diverticulitis is a rare disease. Patients present commonly with symptoms of acute appendicitis and require laparoscopic or open surgery. Diagnosis is usually made only on histology. Here, we present a rare case of acute diverticulitis of the appendix. CASE PRESENTATION A 33-year old gentleman presented with right iliac fossa pain of 3 days...

Solitary caecal diverticulitis Editor, I have had recent experience of three cases of solitary caecal diverticulitis which presented over an 18 month period to Causeway Hospital 1 and wished to add to the case by Abogunrin et al. 2 There have been over 1000 cases of caecal diverticulitis reported in the literature. A review of 881 cases showed that the average age was 43.6 years (range 7 to 87 ...

In traditional Japanese herbal (Kampo) medicine, daiobotanpito (DBT) or Da Huang Mu Dan Tang in Chinese has been used in medical treatment of acute diverticulitis for many years based on the experience. Our aim was to investigate whether the treatment of acute diverticulitis can be treated with intravenous antibiotics plus orally administrated DBT than intravenous antibiotics alone. A retrospec...

BACKGROUND While detailed history, physical examination, and laboratory tests are of great importance when examining a patient with diverticular disease, they are not sufficient to diagnose (or stratify) diverticulitis without cross-sectional imaging (ultrasonography (US), computed tomography (CT)). METHODS Qualified US has diagnostic value equipotent to qualified CT, follows relevant legisla...

BACKGROUND Diverticulitis is a common condition. Practice guidelines from many organizations recommend bowel resection after two attacks. The evidence for such a recommendation is reviewed. METHODS A Medline literature search was performed to locate English language articles on surgery for diverticular disease. Further articles were obtained from the references cited in the literature initial...

BACKGROUND The optimal treatment of acute complicated diverticulitis is a matter of debate and has undergone significant changes. Currently, the main focus of surgical treatment concepts is on controlling the emergency situation triggered by acute complicated sigmoid diverticulitis through interventional and minimally invasive measures. METHODS This article presents the current data and recom...