What is the role of urinalysis and urine culture in the diagnosis of diverticulitis?

Updated: Aug 06, 2019
  • Author: Elie M Ghoulam, MD, MS; Chief Editor: BS Anand, MD  more...
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Answer

If a colovesical fistula is suspected, a urinalysis may reveal red or white blood cells. However, inflammation and infection due to diverticulitis adjacent to the ureters or the bladder may be the source of these cells. A urine culture may confirm sterile pyuria due to inflammation versus polymicrobial infection in the case of a fistula.


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