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Diverticulitis: Bleeding
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If a person has frequent attacks of diverticulitis, a surgeon may perform a colon resection to remove the affected part of the colon. Often, the surgeon will create a temporary hole in the abdomen, to divert bowel movements into a colostomy bag. In a second operation, the surgeon will rejoin the colon and repair the hole in the abdomen. Normal colon function usually returns in about three weeks.
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Patients whose acute diverticulitis is complicated by colovesical or other fistula rarely require emergent operation. Such patients are best treated medically with subsequent elective fistula takedown, colon resection, and primary anastomosis. When colonic obstruction attends diverticulitis, it is usually incomplete and allows a gentle mechanical and antibiotic bowel preparation, as well as non-emergent colon resection with primary anastomosis.
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CNN - He had diverticulitis, an inflammation of the large intestine, and that had caused bleeding in his abdominal cavity. After his first operation to remove the bleeding portion of his large intestine, he required a second operation because of
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Increased attenuation in the pericolic fat is not specific for diverticulitis, and false-positive findings occur. The differential diagnosis includes neoplasm, inflammatory bowel disease, appendicitis, and epiploic appendagitis. The presence of fluid in the root of the mesentery and the engorgement of adjacent sigmoid mesenteric vasculature suggest an inflammatory process, and the absence of stranding of the pericolic fat is typical of carcinoma.
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