Keywords
diverticular disease
hinchey classification for perforated complicated diverticulitis
antibiotics
laparotomy
How to Cite
Abstract
When acute diverticulitis is belatedly diagnosed and the clinical symptoms are evident, the risk of complications and mortality increases, therefore the main purpose of this review is to remind the importance of approach and consider this pathology into the differential diagnosis made in emergency room.
Diverticulitis is a pathology that compromises the elderly population, but more aggressive when occur in the population under 50 years old; this pathology
affects the left colon. It is usually sub-diagnosed and once it is diagnosed, both hospital stay and recurrence arise.
Diverticulitis is classified in two stages: complicated and uncomplicated; treated by oral antibiotics or intravenously, and in most cases patients are treated
with percutaneous drainage. However, if the patients present with perforations, a surgical intervention will be required. The first choice is medical management but when necessary the elective surgery might be considered.
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