LYCOS RETRIEVER 
Diverticulitis: Conditions
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The primary disadvantage of barium enema examination in the evaluation of diverticulitis is its limited ability in cases of extraluminal disease. Abscesses that do not communicate with the colon may not be detected. Although communication with the urinary bladder may be demonstrated, only 20% of colovesical fistulas are revealed on barium enema evaluation. Alternative conditions, such as appendicitis, epiploic appendagitis, gynecologic pathology, and renal colic, may not be depicted.
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Appendiceal diverticulitis as the etiology of right lower quadrant pain is an uncommon entity in younger populations. Although infrequently encountered, this possibility must be entertained in the differential diagnosis of abdominal pain, especially in the adult patient. Since the clinical presentation can be different from classical acute appendicitis picture, It is important that surgeons be aware of this condition. As is shown in the clinical presentation of the case we describe, the classical right lower quadrant pain can be absent and in case of delay in establishing the correct diagnosis, Those with appendiceal diverticulitis are 4 times more likely to have a perforation, which increases mortality 30-fold compared with simple appendicitis. 4
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Other complications of diverticulitis may include a blockage in your colon or small intestine, an abscess or a fistula. A fistula is an abnormal passageway that occurs between different parts of your intestine, your intestine and your bladder or vagina, or your intestine and abdominal wall. Sometimes fistulas themselves become infected — a condition that can be life-threatening if left untreated.
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Most people recover from diverticulitis without problems if they receive appropriate treatment. Diverticulitis can lead to some very serious conditions (see Outlook) if it is not detected and treated promptly. To a great extent, diverticulosis and diverticulitis can be prevented by changes in lifestyle and habits.
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Once you've been diagnosed with diverticulosis or diverticulitis, there is no reversing the condition. The best way to manage diverticulosis and diverticulitis is to keep the pressure in your colon at low and constant levels.
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If you decide to self manage your diverticulitis, you must have proper diagnosis. If you decide to stop using prescription medications prescribed by your doctor for your diverticulitis,condition, it is your personal choice, not the choice of the author.
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