Recognizing and managing acute diverticulitis for the internist
James S. Wu, MD
Department of Colorectal Surgery, Cleveland Clinic Beachwood Family Health Center
Mark E. Baker, MD
Department of Radiology,The Cleveland Clinic Foundation
Address: James S. Wu, MD, Department of Colorectal Surgery, N32, Cleveland Clinic Beachwood Family Health Center, 26900 Cedar Road, Beachwood, OH 44122; Mark E. Baker, MD, Department of Radiology, Hb6, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195
ABSTRACTColonic diverticulitis can present as mild abdominal discomfort or as life-threatening septic shock and can also mimic many inflammatory conditions. Most patients with acute diverticulitis can be managed with antibiotics and supportive care. Surgery is reserved for those with repeat attacks, disease unresponsive to medical therapy, certain complications, and the possibility of colon cancer that cannot otherwise be excluded.