Difficult cases of diagnosis and treatment in patients suffering from inflammatory complications of acute colonic diverticulitis

Abstract

Diverticular disease of the colon is a fast spreading disease among the elderly population with a high incidence of purulent and septic complications (formation of pericolic infiltrates with abscesses and peritonitis). Although formed algorithm of examination of patients with suspected acute diverticulitis of the colon, including an ultrasound, computed tomography of the abdominal cavity, abdominal X-ray study and contrast enema, colonoscopy, in practice surgeons meet patients with atypical clinical and instrumental picture, which often leads to false positive or false negative results of diagnosis of acute diverticulitis. The authors analyzed these clinical cases, discussed the diagnosis and treatment errors, and recommendations to avoid similar difficulties in the future.