Which physical findings indicate diverticulitis?

Updated: Aug 06, 2019
  • Author: Elie M Ghoulam, MD, MS; Chief Editor: BS Anand, MD  more...
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On physical examination, the following may be found:

  • Localized abdominal tenderness

  • Abdominal distention

  • Tympanic abdomen to percussion

  • A tender mass (abscess formation)

  • Hypo- or hyperactive bowel sounds

  • Absent bowel sounds (perforation)

  • Generalized abdominal pain with rebound and guarding (perforation)

  • Urinary tract findings (colovesicular/colovaginal fistula) include suprapubic, flank, costovertebral tenderness; pneumaturia (air in urine); fecaluria (stool in urine); purulent vaginal discharge

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