Q) False regarding the management of Acute Diverticulitis, Sigmoid colon inflammation and Fat stranding in CT ?
a) Outpatient treatment in most cases
b) Do a colonoscopy after the resolution of acute symptoms
c) Elective Colectomy to be done
d) IV antibiotics to be started`
The pathogenesis of acute diverticulitis is often attributed to the obstruction of diverticula by fecaliths, leading to increased intraluminal pressure, bacterial overgrowth, and subsequent inflammation or perforation
Answer Free c
Sigmoid diverticulitis can be complicated and uncomplicated
Complicated means diverticulum associated with abscess, perforation, obstruction, fistula
This question is about an uncomplicated acute diverticulitis
It can be managed in outpatient setting
It requires IV antibiotics and diet modification
After resolution of symptoms, colonoscopy is to be done after 6 weeks to rule out the presence of other diverticula and neoplasm
Colectomy is not required in all cases. Current recommendations suggest that the decision for surgery should be individualized, taking into consideration the frequency and severity of recurrences. The patient’s overall medical condition and comorbidities should also be included in the analysis
