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Complications

By Mayo Clinic staff

Digestive Health

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Complications of diverticulitis may include:

  • Peritonitis, which can occur if the infected or inflamed pouch ruptures, spilling intestinal contents into your abdominal cavity. This can cause an inflammation of the lining of your abdominal cavity (peritoneum). Peritonitis is a medical emergency and requires immediate care.
  • Rectal bleeding.
  • A blockage in your colon or small intestine caused by scarring.
  • An abscess, which occurs when pus collects in the pouch.
  • A fistula, which is an abnormal passageway that occurs between different parts of your intestine, between your intestine and your bladder or vagina, or between your intestine and abdominal wall.

Although there doesn't appear to be a direct link between diverticular disease and colon or rectal cancer, diverticular disease may make cancer more difficult to diagnose. And rarely, what appears to be diverticulitis may be colon cancer. Because of this, your doctor will likely recommend a colonoscopy after you've recovered from a bout of diverticulitis. Your doctor may also recommend that you have more-frequent cancer-screening tests. A colonoscopy is a test that allows your doctor to examine your entire colon and rectum for abnormalities using a long, flexible tube with a tiny video camera at the tip (colonoscope).

References
  1. Diverticulosis and diverticulitis. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/diverticulosis/diverticulosis.pdf. Accessed March 24, 2011.
  2. Touzios JG, et al. Diverticulosis and acute diverticulitis. Gastroenterology Clinic of North America. 2009;38:513.
  3. Jacobs DO. Clinical practice: Diverticulitis. New England Journal of Medicine. 2007;357:2057.
  4. Strate LL, et al. Nut, corn, and popcorn consumption and the incidence of diverticular disease. Journal of the American Medical Association. 2008;300:907.
  5. Diverticulitis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/print/sec02/ch019/ch019c.html. Accessed March 24, 2011.
  6. Narula N, et al. Role of probiotics in management of diverticular disease. Journal of Gastroenterology and Hepatology. 2010;25:1827.
DS00070 May 21, 2011

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