What are the surgical indications for diverticulitis?

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

Classic surgical indications include some features characteristic of Hinchey stage III or IV disease, as follows:

  • Free-air perforation with fecal peritonitis

  • Suppurative peritonitis secondary to a ruptured abscess

  • Uncontrolled sepsis

  • Abdominal or pelvic abscess (unless computed tomography scan-guided aspiration is possible)

  • Fistula formation

  • Inability to rule out carcinoma

  • Intestinal obstruction

  • Failing medical therapy

  • Immunocompromised status

  • Extremes of age


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