Cover Image

A three-step approach to patients with suspected acute diverticulitis in the emergency department: An interdisciplinary algorithm proposal

Ciro Paolillo, Massimo Sartelli, Vittorio Miele, Luca Ansaloni, Massimo Valentino, Cecilia Merli, Federico Coccolini, Francesco Toso, Carmelo Madia, Fausto Catena
  • Massimo Sartelli
    Department of Surgery, Macerata Hospital, Macerata., Italy
  • Vittorio Miele
    Department of Radiology, Careggi University Hospital, Firenze, Italy
  • Luca Ansaloni
    General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy
  • Massimo Valentino
    Department of Radiology, Tolmezzo Hospital, Tolmezzo, Italy
  • Cecilia Merli
    Emergency Department, Bufalini Hospital, Cesena, Italy
  • Federico Coccolini
    General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy
  • Francesco Toso
    Department of Radiology, Teaching Hospital, Udine, Italy
  • Carmelo Madia
    Emergency Department, Treviso Hospital, Treviso, Italy
  • Fausto Catena
    Department of Emergency Surgery, Parma Maggiore Hospital, Parma, Italy

Abstract

Patients with acute abdominal pain due to acute colonic diverticulitis are a frequent cause of hospital admission. Diverticuar disease increases with age. In Western populations, diverticular disease is diagnosed in 50% individuals over 70 years and 80% over 85 years of age. The identification of patients with acute diverticulitis is a considerable challenge, since numerous other acute abdominal conditions mimic its clinical characteristics. Another problem is the atypical presentation in older patients. A high index of suspicion in the setting of a compatible history and physical examination serves as the cornerstone of early diagnosis. The purpose of this review is to underline the importance of an intimately integrate multidisciplinary approach between emergency physicians, radiologists and surgeons.

Keywords

Acute colonic diverticulitis; Clinical diagnosis; Abdominal pain; Diagnostic accuracy; Imaging modality; Abdominal ultrasound; Computed tomography.

Full Text:

PDF
Submitted: 2018-02-12 17:59:19
Published: 2018-08-02 14:34:05
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
44

Views:
PDF
20

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM




Copyright (c) 2018 Ciro Paolillo, Massimo Sartelli, Vittorio Miele, Luca Ansaloni, Massimo Valentino, Cecilia Merli, Federico Coccolini, Francesco Toso, Carmelo Madia, Fausto Catena

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2018     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185     •     Privacy