Sigmoid diverticulosis complications |
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Sigmoid diverticulosis or diverticulitis patients appear to develop complications, or serious complications in 10-25% of the cases. |
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Diverticulosis
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DiverticulitisOne of the most common complications of sigmoid diverticulosis is diverticulitis. Diverticulitis is when infections occur around the diverticuli due to the fact that bacteria from inside the colon can leak out through the thinner wall of the pocket (diverticuli). This type of infection is called diverticulitis. In extreme cases of diverticulitis, there can be a large amount of tenderness in the left lower part of the abdomen and also fever. Diverticulitis will normally need treatment - unlike sigmoid diverticulosis - and the treatment is usually antibiotics and a controlled diet on mainly liquids. Severe cases of diverticulitis may require hospitalization. Bleeding from rectumIf a diverticulitis blood vessel is damaged or ruptured, there may be bleeding from the rectum. It can also lead to dark red colouring of the stool in cases where the bleeding is originating from a pocket in the right colon. Endoscopy can be useful to locate the position of the diverticulosis bleeeding and to try and stop it. If this does not work, it may be necessary to use sigmoid diverticulosis (diverticulitis) surgery to remove the part of the colon with the bleeding diverticulum. PerforationDiverticulosis perforation can let bacteria into the abdomen with the result that an absess, or peritonitis may develop. This will require surgery in the abdomen. Pain in the abdominal areaWith many diverticuli, the sigmoid colon may be disformed resulting in pain from the lower left abdomen. PeritonitisWith diffuse peritonitis, there is often severe pain in the abdominal area. Diffuse peritonitis can also lead to what is known as septic shock followed by prostration and possibly a cardiovascular collapse. FistulasColovesical or colovaginal fistulas. Presence of pneumaturia or fecaluria are signs of a colovesical fistula. In cases of colovesical or colovaginal fistulas, emergency operation is usually not necessary. Treatment is best done medically with later fistula removal (surgery), colon resection and if necessary primary anastomosis. ObstructionA so called cicatricial narrowing of the sigmoid part of the colon (sigmoid stenosis) can lead to increased long term constipation |
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