PMID- 36735723
OWN - NLM
STAT- MEDLINE
DCOM- 20230310
LR  - 20230721
IS  - 1530-0358 (Electronic)
IS  - 0012-3706 (Linking)
VI  - 66
IP  - 4
DP  - 2023 Apr 1
TI  - Acute Uncomplicated Diverticulitis: Updated Evidence for Same Old Questions.
PG  - 493-496
LID - 10.1097/DCR.0000000000002750 [doi]
AB  - A 58-year-old man with a previous history of hypertension presented to the 
      emergency department because of acute left lower quadrant pain. Neither nausea 
      nor vomiting was described. At physical examination, he had tenderness to 
      palpation in the left lower quadrant with no signs of peritonitis. The patient's 
      body temperature and heart rate were unremarkable (37.2 degrees C/86 beats per minute). 
      Laboratory blood tests showed minimal leukocytosis (13,000 cells/mm 3 ) with no 
      other relevant findings. An abdominal CT was performed, which confirmed the 
      clinical suspicion of acute uncomplicated diverticulitis (AUD). It was described 
      as the presence of a sigmoid thickening and phlegmon in an area with several 
      diverticula, but no free air, fluid, or abscesses were identified ( Fig. 1 ). 
      After the administration of painkillers, the patient remained completely 
      asymptomatic, with good pain control and no fever, so he was recommended 
      conservative outpatient treatment without antibiotics. One week after the AUD 
      episode, the patient was checked, and he confirmed that the resolution had been 
      uneventful and he had been asymptomatic, confirming that the outpatient treatment 
      was successful. The patient asked for any measures that he could follow to 
      prevent further episodes and showed interest in surgical treatment options.
CI  - Copyright (c) The ASCRS 2023.
FAU - Correa Bonito, Alba
AU  - Correa Bonito A
AD  - Hospital Universitario de La Princesa, Madrid, Spain.
FAU - Blanco Teres, Lara
AU  - Blanco Teres L
LA  - eng
PT  - Case Reports
PT  - Comment
PT  - Journal Article
DEP - 20230203
PL  - United States
TA  - Dis Colon Rectum
JT  - Diseases of the colon and rectum
JID - 0372764
SB  - IM
CON - Clin Gastroenterol Hepatol. 2021 Mar;19(3):503-510.e1. PMID: 32240832
CIN - Dis Colon Rectum. 2023 Apr 1;66(4):496-497. PMID: 36735728
MH  - Male
MH  - Humans
MH  - Middle Aged
MH  - *Diverticulitis/complications/diagnosis/therapy
MH  - Abscess/complications
MH  - Abdominal Pain/diagnosis/etiology
MH  - Fever
MH  - *Peritonitis
EDAT- 2023/02/04 06:00
MHDA- 2023/03/11 06:00
CRDT- 2023/02/03 13:43
PHST- 2023/02/04 06:00 [pubmed]
PHST- 2023/03/11 06:00 [medline]
PHST- 2023/02/03 13:43 [entrez]
AID - 00003453-202304000-00002 [pii]
AID - 10.1097/DCR.0000000000002750 [doi]
PST - ppublish
SO  - Dis Colon Rectum. 2023 Apr 1;66(4):493-496. doi: 10.1097/DCR.0000000000002750. 
      Epub 2023 Feb 3.