In the gastrointestinal tract, diverticular occur with predilection in the colon, and these are usually multiple. Diverticular disease is called when an inflammation of the diverticulum, but there are cases where it is impossible to determine whether or not an inflammatory process then called Diverticulosis. To avoid this terminology that tends to bring confusion, the term is now used Diverticular Disease of the Colon referring to any stage of this disease. The word comes from Latin diverticulum Diverticulum that means sitting on the diversion of a road, possibly a bad reputation.

Radiology is the mainstay for the diagnosis of this condition. This is call for the contrast barium enema administered with care and low pressure. Most specialists are seeking to double contrast to detect other pathologies such as polyps or infiltrative. The stage described by Spiggs peridivericular and Morss (1925), corresponding to hyper-colon as an accordion or sawtooth, rarely extends to the descending colon.

In the colon with diverticular disease themselves, to the greatest extent and severity is a rule obtained by examination that contrasted radiological postmortem anatomical studies. Diverticula can be seen throughout the colon including the cecum and ascending colon as seen in the variety Hypotonic, but the sigmoid colon and descending colon that are most affected. Diverticular disease of the colon is sacs clearly observed radiologically, can be grouped as clusters of grapes in the pelvis. The size and shape varies widely in each individual, once a diverticulum is filled with air and barium or may not give evidence on technical deficiencies, lack of retention of barium, pain, and image overlay composition of the light of the diverticulum with coprolites. Radiology can put in evidence Colon shortening and stenosis. You can also show some of its complications such as local abscesses, intramural dissection, fistula obstruccion etc.

Perforated acute cases only can help to detect with plain abdominal or chest radiographs may show air in some cases below the diaphragm, as well as a pattern of ileus, or mass effect in lower quadrant left and fluid levels are also evidence indicating a partial or complete obstruction of the bowel, in addition to the danger of drilling but the diverticulum or the spread of barium in the faeces into the peritoneal cavity thereby contributing to increased morbidity and mortality. When you need a contrast study, due to a difficult diagnosis of diverticular disease on the colon, it recommended using a water-soluble agent. This study is usually good enough to evaluate the presence of diverticular disease, and perforation. In other studies that are useful are the intravenous urogram and cystogram that reveal displacement or obstruction of the ureters or extrinsic compression of the urinary bladder.

In the vast majority of cases, uncomplicated diverticular disease is asymptomatic, usually discovered diverticula in the colon barium enema. Some patients complain of discomfort located in the lower left quadrant, bloating, flatulence, nausea, disturbance in bowel habit, dyspeptic disorders may even be due to other digestive diseases or associated pathologies.

In cases of complicated diverticular disease symptoms are more exuberant. The left iliac fossa pain is the primary symptom that often requires hospitalization of the patient. Persistent pain suggests an inflammatory origin, if this becomes colicky pain suggests a degree of obstruction. There may be diarrhea or constipation. Constipation is suggestive of stenosis, especially in light of the sigmoid due to fibrosis and hypertrophy of the muscle. The ongoing inflammation of the diverticulum can lead to complications such as abscesses or fistulas, this inflammatory component is due to the presence of a fecalith may even increase the bacterial activity by the mechanism of blind loop. Nausea and vomiting may be of a reflex or due to intestinal obstruction, persistent and widespread pain is suggestive of diffuse peritonitis.

Incoming search terms:

Tagged with: • • • •

Filed under: ulcerative colitis treatment • wellness

Like this post? Subscribe to my RSS feed and get loads more!