BACKGROUND Diverticular disease is a widely prevalent disease in western society, and acute diverticulitis is a common acute surgical presentation. However, there is a lack of level 1 evidence addressing the multifaceted presentations associated with acute diverticulitis. There is also a lack of robust epidemiological data that could be used to meaningfully inform randomised controlled trials. ...

Objective: The aim of this study is to investigate the diagnosis and the treatment options of complicated Meckel’s diverticulum and compare that with the literature. Material and Methods: This study retrospectively evaluated 51 patients who had been operated on for complicated Meckel’s diverticulitis in our department of Pediatric Surgery, between January 1999 and February 2016. Clinical sympto...

Diverticulitis is a common colorectal disease present in Western countries that develops as infected protrusions (diverticula) along weak points the colon due to increased intraluminal pressure. Most patients with diverticular can be asymptomatic; however, several complications arise from development of diverticulitis. Here, we discuss diagnosis and management patient presenting recurrent Esche...

The peritonitis of perforated diverticular disease is a life-threatening condition. We report three cases where it occurred following unrelated extra-abdominal surgery and where surgical intervention proved to be the correct course of management. All cases were treated with a Hartmann's procedure; this is probably the safest option for purulent peritonitis in patients who are a high operative r...

Diverticula are thought to arise from defects in the muscularis layer of the intestines (Fig. 35.1) and are related to abnormalities in muscle tone and increased intraluminal pressure; saclike protrusions eventually form at points of weakness. If stool is caught in these sacs, it becomes inspissated and hardened and causes abrasions of the mucosa that lead to inflammation, although the same end...

We present the case of a 52-year-old female with recurrent symptomatic ascending colon diverticulitis who ultimately underwent elective laparoscopic right hemicolectomy. The following is a case report and literature review pertaining to right colonic diverticular disease.

To this day, the treatment of generalized peritonitis secondary to diverticular perforation is still controversial. Recently, in patients with acute sigmoid diverticulitis, laparoscopic lavage and drainage has gained a wide interest as an alternative to resection. Based on this backdrop, we decided to perform a systematic review of the literature to evaluate the safety, feasibility, and efficac...

BACKGROUND The prevalence of diverticulosis is increasing with 5-10% of patients developing diverticulitis and 5-15% developing symptomatic bleeding. Diverticulitis can result in abscess, perforation, fistula, or obstruction. Bleeding has combined morbidity and mortality rates of 10-20%. The purpose of this study was to compare diverticulitis-related complications and transfusion requirements f...

BACKGROUND The incidence of acute left-sided colonic diverticulitis (ACD) is increasing in the Western world. To improve the quality of patient care, a guideline for diagnosis and treatment of diverticulitis is needed. METHODS A multidisciplinary working group, representing experts of relevant specialties, was involved in the guideline development. A systematic literature search was conducted...

Over the last three decades, emergency surgery for perforated sigmoid diverticulitis has evolved dramatically but remains controversial. Diverticulitis is categorized as uncomplicated (amenable to outpatient treatment) versus complicated (requiring hospitalization). Patients with complicated diverticulitis undergo computerized tomography (CT) scanning and the CT findings are used categorize the...