D iverticular disease, small babbles at the bowel wall, may cause fresh red bleeding and diverticulae may perforate and cause diverticulitis. Diverticulitis may present with a great range of symptoms, starting as a simple and localized abdominal infection and ending to faecal peritonitis. We used to operate all patients after the second episode of diverticulitis. Now days we operate these patients very rarely. Practically speaking, in the acute phase we operate only when the patient has diffuse peritonitis and in the chronic phase when diverticulitis happens often and/or is severe, or has caused stenosis. There is nothing we can do to avoid neither the development of diverticulae nor their perforation, except to improve constipation when exists.

Diverticular disease

Colonoscopy - Diverticulae