Colonic diverticulosis 3 (secondary to Divertikulitis)
Author: Prof. em. Dr. med. S. Liebe, University Hospital Rostock, Rostock, Germany
From: Falk Media Service D34, Endoscopy Practice on Video - Selected Diseases of the Colon
2. Edition 2012. © Falk Foundation e.V. All rights reserved.
This is a 68-year-old white male patient who had suffered from diverticulitis associated with fever and guarding in the lower left abdominal quadrant six weeks prior to this colonoscopic examination. Patient’s symptoms improved rapidly with antibiotic therapy. The colonoscopy was performed in order to rule out malignant disease.
The video recording shows the withdrawal of the endoscope from the transverse colon into the rectum. The ascending colon and the proximal half of the transverse colon did not show any pathological changes. Beginning at the middle of the transverse colon, however, there were multiple diverticula. They are large and, in some cases, deep. A few are filled with stool. Inflammatory changes are no longer seen.
Patients with diverticulitis should undergo colonoscopy to exclude malignant disease, but the procedure should not be done earlier than about six weeks after diverticulitis has resolved. This patient had experienced diverticulitis for the first time and treatment remained conservative.