Common alternative conditions that can clinically mimic diverticulitis include small bowel obstruction, primary epiploic appendagitis, acute cholecystitis, appendicitis, ileitis, ovarian cystic disease, and ureteral stone disease.
Can you have a mass with diverticulitis?
A palpable abdominal mass in a patient with diverticulitis is almost invariably a paracolic inflammatory mass related to acute diverticulitis. Presentation of colonic diverticula as a palpable abdominal mass in the absence of acute diverticulitis is extremely rare [5].
What are potential complications of diverticulitis?
Complications of diverticulitis
- Perforation. Perforation of diverticulitis occurs secondary to severe inflammation of bowel wall layers with subsequent necrosis and loss of intestinal wall integrity.
- Abscess. Diverticulitis may result in phlegmon and abscess formation.
- Pylephlebitis.
- Bowel obstruction.
- Bleeding.
- Fistula.
What labs indicate diverticulitis?
A liver enzyme test, to rule out liver-related causes of abdominal pain. A stool test, to rule out infection in people who have diarrhea. A CT scan, which can identify inflamed or infected pouches and confirm a diagnosis of diverticulitis. CT can also indicate the severity of diverticulitis and guide treatment.
What is segmentsegmental neurofibromatosis?
Segmental neurofibromatosis is a very rare subtype of the neurofibromatoses. Affected individuals have a segmental distribution of neurofibromas or pigmentary changes including café-au-lait macules or axillary freckling. It is an example of somatic mosaicism caused by a post-zygotic mutation in the NF-1 gene.
What are the approaches to the treatment of diverticular disease?
Approach Considerations. The management of patients with diverticulitis depends on their presentation severity, presence of complications, and comorbid conditions. Therefore, there is no standard treatment in the medical management of diverticular disease, including diverticulitis.
What is neoneurofibromatosis (NF)?
Neurofibromatosis (NF) is a relatively frequent genodermatosis presenting with heterogeneous clinical features. The NF is characterized by the presence of neurofibromas, café-au-lait macules and freckles as well as some neurologic and ophthalmologic symptoms.
What is the difference between complicated and uncomplicated diverticulitis?
Uncomplicated diverticulitis can be managed medically and in an ambulatory setting, whereas complicated disease requires a more aggressive approach that can often require urgent or elective surgery, and treatments that are specific to the complication itself (eg, abscess drainage).
