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Cureus 2020 Apr 30;12(4):e7897. Epub 2020 Apr 30.

General Surgery, Hamad Medical Corporation, Doha, QAT.

Epiploic appendagitis (EA) is a rare and often misdiagnosed cause of acute abdominal pain. It is a benign and self-limited condition but mimics other underlying causes of acute abdominal pain like acute diverticulitis, acute appendicitis, acute cholecystitis, etc. Inaccurate diagnosis can lead to iatrogenic adverse outcomes. Read More

Eur J Radiol 2020 Jul 30;128:109026. Epub 2020 Apr 30.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, United States.

Diverticular disease of the colon and small bowel is an important cause of pathology leading to emergency department visits and urgent gastrointestinal surgery. CT is a highly sensitive and specific modality for the diagnosis of acute diverticulitis and its complications as well as for the exclusion of alternate causes of pathology. Ultrasound, MRI and virtual CT colonoscopy have important adjunct roles for screening and workup of complications in specific patient populations. Read More

PLoS One 2020 9;15(4):e0229884. Epub 2020 Apr 9.

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan.

Objective: We evaluated the characteristics of patients with diverticular bleeding in whom emergency endoscopy should be proactively performed and those in whom it is unnecessary for spontaneous hemostasis following conservative treatment.

Methods: This study involved 132 patients in whom diverticular bleeding was diagnosed on lower gastrointestinal endoscopy. We evaluated the rate of identification of the bleeding diverticulum during endoscopy and the rate of spontaneous hemostasis following conservative treatment. Read More

Nat Rev Dis Primers 2020 03 26;6(1):20. Epub 2020 Mar 26.

IBD Center, Department of Gastroenterology, Humanitas Clinical and Research Center - IRCCS -, Rozzano, Italy.

Diverticula are outpouchings of the intestinal wall and are common anatomical alterations detected in the human colon. Colonic diverticulosis (the presence of diverticula in the colon; referred to as diverticulosis) remains asymptomatic in most individuals but ~25% of individuals will develop symptomatic diverticulosis, termed colonic diverticular disease (also known as diverticular disease). Diverticular disease can range in severity from symptomatic uncomplicated diverticular disease (SUDD) to symptomatic disease with complications such as acute diverticulitis or diverticular haemorrhage. Read More

Rev Med Suisse 2020 Jan;16(676-7):23-26

Service de chirurgie viscérale, CHUV, Université de Lausanne (UNIL), 1011 Lausanne.

The main novelties in 2019 are about colorectal surgery and oncologic surgery. Acute diverticulitis and mechanical bowel obstruction are frequently diagnosed in primary care medicine. In 2019, EAES (European Association for Endoscopic Surgery) and SAGES (Society of American Gastrointestinal and Endoscopic Surgeons) published their recommendations for the management of diverticulitis. Read More

J Gastrointestin Liver Dis 2019 Dec 19;28(suppl. 4):35-38. Epub 2019 Dec 19.

University of Newcastle, Faculty of Health and Medicine, School of Medicine and Public Health, Australian Gastrointestinal Research Alliance, Callaghan NSW 2308, Australia.

In this session diverse critical issues in diverticular disease were considered, including "In or outpatient management of uncomplicated diverticulitis?", "Segmental colitis associated with diverticulosis: what is it?"and "Diverticular inflammation is a risk factor for colorectal cancer?". The conclusions drawn are outlined in the statements but in summary, outpatient management is safe in selected patients, as long as correct diagnosis and stage are assured, and this can allow a cost effective treatment. Non-antibiotic management is also safe but should be confined as an outpatient treatment in carefully selected patients. Read More

Int J Mol Sci 2019 Dec 30;21(1). Epub 2019 Dec 30.

Stephenson School of Biomedical Engineering, University of Oklahoma, Norman, OK 73019, USA.

A variety of seemingly non-specific symptoms manifest within the gastrointestinal (GI) tract, particularly in the colon, in response to inflammation, infection, or a combination thereof. Differentiation between symptom sources can often be achieved using various radiologic studies. Although it is not possible to provide a comprehensive survey of imaging gastrointestinal GI tract infections in a single article, the purpose of this review is to survey several topics on imaging of GI tract inflammation and infections. Read More

Int J Colorectal Dis 2019 Dec 7;34(12):2053-2058. Epub 2019 Nov 7.

Division of Digestive Surgery, University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211, Genève 14, Switzerland.

Background: Some patients with uncomplicated diverticulitis have extraluminal air. Our objective was to determine if patients with Hinchey 1a diverticulitis and isolated extraluminal air present more severe episode than patients without extraluminal air.

Methods: The present study is a monocentric observational retrospective cohort study. Read More

Presse Med 2019 Sep;48(9):883-885

Sorbonne université, service de chirurgie générale et digestive de l'hôpital Saint-Antoine AP-HP, 184, rue du faubourg Saint-Antoine, 75012 Paris, France. Electronic address:

J Belg Soc Radiol 2019 Sep 12;103(1):51. Epub 2019 Sep 12.

Cliniques Universitaires Saint-Luc, BE.

Dis Colon Rectum 2019 10;62(10):1153-1156

1 Department of Surgery, University of North Carolina, Chapel Hill, North Carolina 2 Division of Gastrointestinal Surgery, University of North Carolina, Chapel Hill, North Carolina.

Case Summary: A healthy 65-year-old woman presents to the emergency department with a 12-hour history of sudden-onset severe lower abdominal pain. This is her first episode. She reports nausea, vomiting, and anorexia. Read More

Medicine (Baltimore) 2019 Aug;98(33):e16846

Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Rationale: Primary epiploic appendagitis (PEA) is a rare cause of acute abdomen caused by spontaneous torsion or venous thrombosis of epiploic appendices, it commonly manifests with acute lower quadrant pain, thus may mimic acute diverticulitis, appendicitis, or mesenteric infarction.

Patient Concerns: In this case report, we report a 44 years old man who presented with persistent sharp pain in the left lower quadrant abdomen, Laboratory tests were mostly normal, contrast enhanced computed tomography (CECT) revealed a slightly high density shadow with fat foci in the middle was presented around the local descending colon, accompanied by the adjacent peritoneal thickening.

Diagnoses: He was diagnosed with PEA as confirmed by an abdominal contrast enhanced computed tomography (CECT) scan. Read More

Ulus Travma Acil Cerrahi Derg 2019 Jul;25(4):396-402

Department of General Surgery, Gulhane Training and Research Hospital, Ankara-Turkey.

Background: Approximately 10%-25% of patients with colon diverticular disease experience colonic diverticulitis during their lives. Right-sided diverticulosis is a rare condition in Western countries, but it is common among Asian countries. The aim of this study was to evaluate the clinical and treatment outcomes in our patients with right colon diverticulitis. Read More

Radiologia 2019 Nov - Dec;61(6):506-509. Epub 2019 Jul 1.

Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España. Electronic address:

The growing demand for computed tomography studies clashes with the restrictions on the use of ionizing radiation that are being reflected more and more clearly in good practice guidelines and legislation. One paradigmatic example is the diagnosis of acute diverticulitis, for which a increasing amount of computed tomography studies are being demanded with the justification that they are clinically necessary and more reliable than ultrasound studies. The present paper reviews the scientific evidence about the diagnostic validity of ultrasonography and computed tomography in the diagnosis of acute diverticulitis of the colon. Read More

Surg Endosc 2019 09 27;33(9):2726-2741. Epub 2019 Jun 27.

Department of Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Background: Acute diverticulitis (AD) presents a unique diagnostic and therapeutic challenge for general surgeons. This collaborative project between EAES and SAGES aimed to summarize recent evidence and draw statements of recommendation to guide our members on comprehensive AD management.

Methods: Systematic reviews of the literature were conducted across six AD topics by an international steering group including experts from both societies. Read More

Ned Tijdschr Geneeskd 2019 05 16;163. Epub 2019 May 16.

MC Slotervaart, afd. Chirurgie, Amsterdam.

Complicated small intestine diverticulitis Background Diverticula do not only occur in the colon but also in the small intestine albeit less frequently. Small intestine diverticula are usually asymptomatic. Acute complications, such as intestinal obstruction, bleeding or diverticulitis with or without abscess or perforation, are rare. Read More

J Comput Assist Tomogr 2019 May/Jun;43(3):475-484

From the Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD.

Three-dimensional (3D) visualizations of computed tomography (CT) data have found use in the display of complex anatomy and pathology. A new method of 3D CT image creation known as cinematic rendering (CR) makes use of a global lighting model to produce photorealistic images. Cinematic rendering images contain high levels of detail with shadowing and depth that are not available from traditional 3D CT techniques. Read More

BMJ Case Rep 2019 May 6;12(5). Epub 2019 May 6.

Colon & Rectal Surgery, St. Joseph Mercy Ann Arbor, Ypsilanti, Michigan, USA.

We present a patient with perforated diverticulitis contained within an inguinal hernia sac-a diagnostic and treatment dilemma. A 61-year-old man presented to the emergency department with left testicular and groin pain, and loose stool. CT imaging showed a left inguinal hernia containing a perforated segment of sigmoid colon. Read More

J Am Coll Radiol 2019 May;16(5S):S141-S149

Specialty Chair, Virginia Commonwealth University Medical Center, Richmond, Virginia.

This review summarizes the relevant literature regarding imaging of suspected diverticulitis as an etiology for left lower quadrant pain, and imaging of complications of acute diverticulitis. The most common cause of left lower quadrant pain in adults is acute sigmoid or descending colonic diverticulitis. Appropriate imaging triage for patients with suspected diverticulitis should address the differential diagnostic possibilities and what information is necessary to make a definitive management decision. Read More

Diagn Pathol 2019 Mar 13;14(1):22. Epub 2019 Mar 13.

Department of Radiology, Maisonneuve-Rosemont Hospital, 5415 Boulevard de L'Assomption, Montreal, QC, Canada.

Background: Malakoplakia is a chronic inflammatory disease characterized by tissue infiltrates of large granular macrophages containing distinctive intracytoplasmic inclusions termed Michaelis-Gutmann (MG) bodies. The genitourinary system is the most commonly involved site, followed by the gastrointestinal tract. Malakoplakia may occur as a complication of primary or secondary immunosuppression and, therefore, renal transplant recipients are at risk. Read More

Dis Colon Rectum 2019 05;62(5):608-614

Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands.

Background: Although acute diverticulitis and its recurrence are well studied, little is known about the period after these attacks have passed. Many patients appear to be affected by persistent symptoms that impair quality of life. The few published studies on this topic are mostly limited by the lack of CT confirmation of the acute diverticulitis diagnosis, low numbers of patients, or cross-sectional design. Read More

Am J Gastroenterol 2018 06;113(6)

Division of Gastroenterology, University of Michigan, Ann Arbor, MI, USA.

J Med Case Rep 2018 Dec 25;12(1):379. Epub 2018 Dec 25.

Computed Tomography Department, Konstantpouleio General Hospital Nea Ionia, Athens, Greece.

Background: Extramedullary plasmacytoma is an uncommon tumor that most often involves the nasopharynx or upper respiratory tract. Extramedullary plasmacytoma is a type of plasma cell neoplasm that can present as a primary tumor or secondary to another plasma cell neoplasm, such as multiple myeloma. Secondary extramedullary plasmacytoma is usually noted in the advanced stages of the disease. Read More

Dig Dis Sci 2019 11 3;64(11):3143-3151. Epub 2018 Dec 3.

Division of Colon and Rectal Surgery, Department of Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive, Hershey, PA, 17033-0850, USA.

Background: The management of diverticulitis is compromised by difficulty in identifying patients who require surgery for recurrent or persistent disease. Here, we introduce the concept of multifocal diverticulitis (MFD), characterized by multiple episodes of diverticulitis occurring at different locations within the colon.

Aims: To compare clinical characteristics, success of surgical management, and colonic transcriptomes of MFD patients to patients with conventional unifocal diverticulitis (UFD). Read More

N Engl J Med 2018 Oct;379(17):1635-1642

From the Division of Colon and Rectal Surgery, Mayo Clinic, Phoenix, AZ.

Medicine (Baltimore) 2018 Oct;97(40):e12712

Department of Diagnostic Radiology, Chang Gung Memorial Hospital Chiayi Branch, Chiayi.

Rationale: Failure to recognize intestinal malrotation in adults can cause complications during surgeries, especially those with a limited operative field. We report a case of short bowel syndrome caused by mistaken creation of a loop enterostomy in the jejunum due to undiagnosed intestinal malrotation.

Patient Concerns: A 72-year-old man underwent a laparoscopic right hemicolectomy and ileocolostomy because of complicated diverticulitis. Read More

Dis Colon Rectum 2018 Oct;61(10):1141-1144

Division of General Surgery, University of Utah, Salt Lake City, Utah.

Ann R Coll Surg Engl 2018 Aug 16:e1-e3. Epub 2018 Aug 16.

First Department of Surgery, Laikon General Hospital, School of Medicine, National and Kapodistrian University of Athens , Athens , Greece.

The transverse colon is a particularly rare site for a diverticulum to develop, with only few reports of solitary diverticula described in the literature. Among the reported complications, colocutaneous fistulas appear relatively infrequently. We describe the case of an 80-year-old woman with a solitary diverticulum of the transverse colon presenting as acute diverticulitis with abscess formation in the epigastric region. Read More

Gastrointest Endosc 2018 11 20;88(5):841-853.e4. Epub 2018 Jul 20.

Department of Gastroenterology and Hepatology, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Japan.

Background And Aims: Very few prospective studies with over 100 samples have evaluated the long-term outcomes of endoscopic therapy for colonic diverticular bleeding (CDB). This study sought to elucidate the recurrent bleeding risk of endoscopic band ligation versus clipping for definitive CDB based on stigmata of recent hemorrhage (SRH).

Methods: Patients emergently hospitalized for acute lower GI bleeding and examined by high-resolution colonoscopy were enrolled. Read More

Clin Colon Rectal Surg 2018 Jul 22;31(4):217-220. Epub 2018 Jun 22.

Division of Colon and Rectal Surgery, Department of Surgery, Henry Ford Hospital, Detroit, Michigan.

Radiologic assessment plays a vital role in the management of diverticulitis. It not only helps in the diagnosis, but also helps to guide the management. As technology has progressed, different modalities have offered insight into the treatment of this disease process. Read More

Expert Rev Gastroenterol Hepatol 2018 Aug 19;12(8):791-796. Epub 2018 Jun 19.

a Gastroenterology Service , ASL BAT , Andria , Italy.

Introduction: Diverticulosis of the colon is a common condition, and about one-fourth of those people develop symptoms, which is called 'diverticular disease' (DD). Since there are still some concerns about the diagnosis of DD, the aim of this review was to analyze current and evolving advances in its diagnosis. Area covered: Analysis of clinical, radiology, laboratory, and endoscopic tools to pose a correct diagnosis of DD was performed according to current PubMed literature. Read More

Ann Surg Treat Res 2018 Jun 29;94(6):322-329. Epub 2018 May 29.

Department of Surgery, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, Korea.

Purpose: The incidence of colonic diverticular disease is increasing, and several grading systems based on CT findings have been developed. The objective of this study was to define the impact of various CT findings of colonic diverticulitis and to demonstrate which factors affect the need for operative treatment.

Methods: Three hundred fifty-seven patients diagnosed with colonic diverticulitis from January 2010 to July 2016 were retrospectively evaluated. Read More

Am J Surg 2018 11 12;216(5):926-931. Epub 2018 May 12.

Department of Colorectal Surgery, Cleveland Clinic Foundation, 2049 East 100th Street, 44195, Cleveland, OH, USA. Electronic address:

Background: We describe a simple endoscopic grading system of diverticular disease for the assessment of disease severity and prediction of outcomes.

Methods: A retrospective analysis of prospectively maintained colonoscopy database was conducted. A single endoscopist prospectively graded disease severity according to the number and size of diverticula, the degree of muscular hypertrophy and rigidity of the sigmoid colon. Read More

Indian J Radiol Imaging 2018 Jan-Mar;28(1):37-40

Department of Radiodiagnosis, Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India.

Colouterine fistula is an extremely rare condition, as the uterus is a thick, muscular organ. Here, we present two different etiologies for this rare condition-diverticulitis and malignancy. A 77-year-old female with colouterine fistula due to diverticulitis presented with complaints of lower abdominal pain localized particularly in the left iliac fossa and fever. Read More

Gastroenterol Nurs 2018 Mar/Apr;41(2):111-119

Lenore Lamanna, EdD, RN, ANP-BC, is with Stony Brook University, Stony Brook, New York; and is Clinical Associate Professor, Graduate Studies in Advanced Practice Nursing, Nurse Practitioner Gastroenterology Associates of Suffolk, Smithtown, New York. Patricia E. Moran, DNP, RN, ANP-C, is with Stony Brook University, New York; and is Clinical Assistant Professor, Graduate Studies in Advanced Practice Nursing.

Diverticular disease includes diverticulosis, which are sac protrusions of the intestinal mucosa, and diverticulitis, inflammation of the diverticula. Diverticular disease is listed as one of the top 10 leading physician diagnoses for gastrointestinal disorders in outpatient clinic visits in the United States. There are several classifications of diverticular disease ranging from asymptomatic diverticulosis to diverticulitis with complications. Read More

Vasc Endovascular Surg 2018 Jul 19;52(5):386-390. Epub 2018 Mar 19.

1 Division of Colorectal Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.

Aortic graft infections are a rare but devastating complication of aortic revascularization. Often infections occur due to contamination at the time of surgery. Iatrogenic misplacement of the limbs of an aortobifemoral graft is exceedingly rare, and principles of evaluation and treatment are not well defined. Read More

G Chir 2018 Jan-Feb;39(1):41-44

Introduction: Bowel wall thickening is not an uncommon finding among patient undergoing abdomen CT scan. It may be caused by neoplastic, inflammatory, infectious or ischaemic conditions but also be a normal variant. Although specific radiologic patterns may direct to a precise diagnosis, occasionally misidentification may occur. Read More

Int J Colorectal Dis 2018 Jun 12;33(6):827-829. Epub 2018 Mar 12.

Department of Gastroenterology, Hospital Clínico de Valladolid, Av Ramón y Cajal 3, 47003, Valladolid, Spain.

Introduction: The development of novel mechanical endoscopic closure systems allows now the management of some gastrointestinal fistula types in a minimally invasive way. However, the correct location of the fistulous tract is essential to achieve successful endoscopic closure.

Case Report: A 69-year-old woman with high risk for surgery presented with recurrent cystitis, pneumaturia, and enteruria 2 months after medical-treated diverticulitis. Read More

Am J Gastroenterol 2018 06 1;113(6):799. Epub 2018 Mar 1.

Division of Gastroenterology, University of Michigan, Ann Arbor, MI, USA. Correspondence: C.A.R. (email: Published online 1 March 2018.

Crit Care Nurs Clin North Am 2018 Mar 29;30(1):67-74. Epub 2017 Nov 29.

Austin Peay State University, School of Nursing, 601 College Street, Clarksville, TN 37043, USA. Electronic address:

Diverticular disease accounts for approximately 300,000 hospitalizations per year in the United States, resulting in 1.5 million days of inpatient care. Diverticulitis is defined as an inflammation of the diverticulum, which can be asymptomatic or symptomatic. Read More

Int J Colorectal Dis 2018 Mar 3;33(3):317-326. Epub 2018 Feb 3.

Department of General-, Visceral- and Vascular Surgery, Charité University Medicine Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Germany.

Purpose: It is controversial whether patients fare better with conservative or surgical treatment in certain stages of acute diverticulitis (AD), in particular when phlegmonous inflammation or covered micro- or macro-perforation are present. The aim of this study was to determine long-term quality of life (QoL) for AD patients who received either surgery or conservative treatment in different stages.

Methods: We included patients treated for AD at the University Hospital Grosshadern, Munich, Germany, between January 1, 2000, and December 31, 2010. Read More

J Enzyme Inhib Med Chem 2018 Dec;33(1):428-432

c Faculty of Medecine , Titu Maiorescu University , Bucharest , Romania.

The gamma-glutamyltransferase (GGT) is recognized in medical practice as a useful indicator for the detection of liver lesions, especially those induced by the excessive consumption of alcoholic or cholesterol-associated drinks. The present study, although it includes a very small number of cases diagnosed with colon diverticulosis-diverticulitis associated with polyposis at the same intestinal level, identifies the presence of increased circulating concentrations of this enzyme in the serum. Its serum levels are tracked "dynamically" throughout a year after the diagnosis and start of the therapy. Read More

Minerva Chir 2018 Apr 23;73(2):163-178. Epub 2018 Jan 23.

Unit of Coloproctology, Hospital Vithas-Nisa 9 de Octubre, Valencia, Spain.

Diverticulitis is a common condition in industrialized countries and an important cause of hospital admissions. Its growing trend is a challenge for the surgeons who perform emergency surgery, because approximately 15-25% of the patients will require surgery, being the surgical management of complicated acute diverticulitis controversial. The past decade has seen a paradigm shift in the treatment of sigmoid diverticulitis based on new epidemiological studies and refinement of surgical techniques that has produced a reassessment of our guidelines. Read More

Gan To Kagaku Ryoho 2018 Jan;45(1):124-126

Dept. of Surgery, Fuchu Hospital.

A 52-year-old woman presented with sudden left lower abdominal pain, fever, and vomiting. As the symptom got improved immediately she went home then. She consulted our hospital with chief complaint of the left lower abdominal mass. Read More

Abdom Radiol (NY) 2018 08;43(8):2060-2065

Department of Radiology, Boston University Medical Center, Boston, MA, USA.

Purpose: To assess whether CT findings, clinical parameters, and modified Hinchey classification are predictive of management outcomes of patients with acute diverticulitis.

Materials And Methods: Data were accrued between January 2014 and December 2015. A total of 301 adult subjects were identified from radiology reports, of which six who did not met the inclusion criteria were excluded, thus yielding 295 subjects. Read More

Swiss Med Wkly 2017 23;147:w14555. Epub 2017 Nov 23.

Department of Internal Medicine, Kantonsspital Olten soH, Switzerland.

Aims Of The Study: While studies show that antibiotic treatment for uncomplicated diverticulitis seems to have no benefit, most experts advocate antimicrobial therapy for complicated diverticulitis. However, even for uncomplicated diverticulitis, most clinicians are very reluctant to withhold antibiotics. Biomarkers could help to guide antibiotic therapy as this approach has been shown to be effective for acute respiratory infections. Read More

J Surg Case Rep 2017 Nov 21;2017(11):rjx228. Epub 2017 Nov 21.

Englewood Hospital and Medical Center, Englewood, NJ 07631,USA.

Colo-ovarian fistula is a rare entity. The case of a 54-year-old female with a colo-ovarian fistula is presented. We describe our experience in managing this complication of diverticulitis and propose a workup and treatment plan. Read More

Case Rep Emerg Med 2017 2;2017:2563218. Epub 2017 Oct 2.

Department of Emergency Medicine, Rowan University-SOM/Kennedy University Hospital, Stratford, NJ, USA.

We report a case of a 71-year-old female who presented with right lower quadrant (RLQ) abdominal pain and was diagnosed on CT scan with right-sided diverticulitis with perforation. She was admitted under the surgical service after consultation and received intravenous fluids, intravenous antibiotics, and pain medications as needed. The patient was discharged 2 days after admission in stable condition with follow-up with gastroenterology. Read More

Int J Colorectal Dis 2017 Dec 26;32(12):1693-1698. Epub 2017 Oct 26.

Department of Surgery, Academic Medical Center, Meibergdreef 9, 1100 DD, PO Box 22660, Amsterdam, The Netherlands.

Purpose: Since outpatient treatment and omitting antibiotics for uncomplicated acute colonic diverticulitis have been proven to be safe in the majority of patients, selection of patients that may not be suited for this treatment strategy becomes an important topic. The aim of this study is to identify computed tomography (CT) imaging predictors for a complicated disease course of initially uncomplicated acute diverticulitis.

Methods: CT imaging from a randomized controlled trial (DIABOLO study) of an observational vs. Read More

Medicine (Baltimore) 2017 Oct;96(43):e8358

aDepartment of General and Visceral Surgery, EHC Hospital, Morges b Department of Visceral Surgery, University Hospital CHUV, Lausanne cUnilabs, Department of Pathology, Lausanne, Switzerland.

Rationale: Acute colonic diverticulitis is a well-known surgical emergency, which occurs in about 10 percent of patients known for diverticulosis.

Patient Concerns: The case of a 77-year-old woman is reported, with past history of abdominoperineal resection with end-colostomy for low rectal adenocarcinoma, and who developed an acute colonic diverticulitis in a subcutaneous portion of colostomy with parastomal phlegmon.

Diagnoses: Initial computed tomography imaging demonstrated a significant submucosal parietal edema with local fat tissues infiltration in regard of 3 diverticula. Read More