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Nonoperative management of acute uncomplicated diverticulitis

INTRODUCTION

Patients with acute diverticulitis can present with uncomplicated or complicated disease (figure 1). (See "Clinical manifestations and diagnosis of acute diverticulitis in adults".)

Acute uncomplicated diverticulitis is a self-limited and confined inflammatory process that may include a microperforation but excludes an abscess, macroperforation, and/or peritonitis. Complicated diverticulitis refers to a clinical presentation with inflammatory manifestations that include peritonitis, obstruction, perforation, and/or abscess formation. This topic review will focus on the nonoperative management of patients with acute uncomplicated diverticulitis. Epidemiology, pathophysiology, clinical manifestations, and management of complicated diverticulitis are reviewed elsewhere:

(See "Colonic diverticulosis and diverticular disease: Epidemiology, risk factors, and pathogenesis".)

(See "Clinical manifestations and diagnosis of acute diverticulitis in adults".)

(See "Diverticular colitis".)

                      

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Literature review current through: Jul 2014. | This topic last updated: Jul 10, 2014.
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