GeneralDiverticulums - a hernia-like protrusions of the intestinal wall, which may be located in both the small and large intestine. They are usually asymptomatic, lifelong does not bother people and are a random finding on radiographic studies. However, in some cases it may happen inflammation diverticulum, which is called diverticulitis. Isolated congenital and acquired diverticulums.
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. It is formed when the yolk cleft flow in the embryonic period and, as well as other diverticulums may remain undetected throughout life. Complications of Meckel's diverticulum in the form of bleeding, diverticulitis or intestinal obstruction occur, usually in childhood.
ReasonsDiverticulitis development due, apparently delayed diverticulum food residues form fecal stones adjoining and bacterial infection. The inflammation may be limited only by the diverticulum or jibe to the neighboring organs and tissues to form interintestinal abscess or peritonitis.
Symptoms of diverticulitis- Fever
- Abdominal pain (usually in the left side)
- Nausea, vomiting.
In the case of peritonitis, when examination revealed a hard painful abdomen, rapid pulse, and sometimes drop in blood pressure. In the blood, increasing the number of white blood cells. If diverticulitis accompanied by intestinal bleeding in the stool can be found a small admixture of blood.
Diagnosis of diverticulitisSuspicion for the presence of diverticulitis may appear at the doctor's surgery already at the initial examination and palpation of the abdomen. However, in some cases, the symptoms of diverticulitis is incredibly similar to the clinical presentation of appendicitis. Survey carried out an X-ray of the abdomen, CT scan, ultrasound.
In the acute phase of research with the introduction of the intestine contrast is contraindicated. After calming down of the inflammatory process or perform a colonoscopy irrigoscopy.