Difference between revisions of "Diverticular disease"

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'''Diverticular disease''', also '''diverticulosis''', is a common disease of the [[colon]]. Inflammation of diverticula is known as '''diverticulitis'''.
'''Diverticular disease''', also '''diverticulosis''', is a common disease of the [[colon]]. Inflammation of diverticula is known as '''diverticulitis'''.


===General===
==General==
*Very common.
*Very common.
*Typically seen in elderly patients - 50s and 60s.


Complications:
Complications:
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**Rectal biopsy to differentiate from [[ulcerative colitis]].
**Rectal biopsy to differentiate from [[ulcerative colitis]].


===Gross===
==Gross==
*Corrugated - like cardboard.
*Corrugated - like cardboard.
*Wall thickening (reactive).<ref name=pmid21359889>{{Cite journal  | last1 = Nicholson | first1 = BD. | last2 = Hyland | first2 = R. | last3 = Rembacken | first3 = BJ. | last4 = Denyer | first4 = M. | last5 = Hull | first5 = MA. | last6 = Tolan | first6 = DJ. | title = Colonoscopy for colonic wall thickening at computed tomography: a worthwhile pursuit? | journal = Surg Endosc | volume = 25 | issue = 8 | pages = 2586-91 | month = Aug | year = 2011 | doi = 10.1007/s00464-011-1591-7 | PMID = 21359889 }}</ref>
*Wall thickening (reactive).<ref name=pmid21359889>{{Cite journal  | last1 = Nicholson | first1 = BD. | last2 = Hyland | first2 = R. | last3 = Rembacken | first3 = BJ. | last4 = Denyer | first4 = M. | last5 = Hull | first5 = MA. | last6 = Tolan | first6 = DJ. | title = Colonoscopy for colonic wall thickening at computed tomography: a worthwhile pursuit? | journal = Surg Endosc | volume = 25 | issue = 8 | pages = 2586-91 | month = Aug | year = 2011 | doi = 10.1007/s00464-011-1591-7 | PMID = 21359889 }}</ref>


====Endoscopic image====
===Endoscopic image===
<gallery>Image:Diverticulosis_2.jpg | Diverticular disease. (WC/Samir)</gallery>
<gallery>Image:Diverticulosis_2.jpg | Diverticular disease. (WC/Samir)</gallery>


====Grossing notes====
===Grossing notes===
*[[pp:Diverticular disease]].
*[[pp:Diverticular disease]].


===Microscopic===
==Microscopic==
Features:
Features:
*Mucosa/submucosa invagination into the musuclaris propria (MP).
*Mucosa/submucosa invagination into the musuclaris propria (MP).
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*[http://histology-group28.wikispaces.com/file/view/divertic.jpg/60992930/divertic.jpg DD (wikispaces.com)].<ref>URL: [http://histology-group28.wikispaces.com/DigestiveSystemProject http://histology-group28.wikispaces.com/DigestiveSystemProject]. Accessed on: 23 August 2011.</ref>
*[http://histology-group28.wikispaces.com/file/view/divertic.jpg/60992930/divertic.jpg DD (wikispaces.com)].<ref>URL: [http://histology-group28.wikispaces.com/DigestiveSystemProject http://histology-group28.wikispaces.com/DigestiveSystemProject]. Accessed on: 23 August 2011.</ref>


===Sign out===
==Sign out==
<pre>
<pre>
RECTO-SIGMOID, LARGE BOWEL RESECTION:
RECTO-SIGMOID, LARGE BOWEL RESECTION:
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- NEGATIVE FOR MALIGNANCY.
- NEGATIVE FOR MALIGNANCY.
</pre>
</pre>


==See also==
==See also==
48,466

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