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Fecal calprotectin, a marker of colon inflammation, may be elevated. Computed tomography of the abdomen is not routinely necessary, but may show thickening or inflammation in the distal colon (sigmoid colon) with associated diverticulosis. Treatment may consist of antibiotics, aminosalicylates (mesalamine), or prednisone. In rare cases, surgery ...
In North America and Europe the abdominal pain is usually on the left lower side (sigmoid colon), while in Asia it is usually on the right (ascending colon). [2] [8] The disease becomes more frequent with age, ranging from 5% for those under 40 years of age to 50% over the age of 60. [9] [1] It has also become more common in all parts of the ...
CT scan showing extensive diverticulosis of the sigmoid colon Diverticular disease Whole slide of a transverse section of the left colon with diverticulosis. Diverticulosis is defined by the presence of multiple pouches (diverticula) in the colon. [22] In people without symptoms, these are usually found incidentally during other investigations.
The signs and symptoms of diverticular disease stem from inflammation and irritation of the colonic tissues, which can manifest as: Abdominal pain that may be persistent for days. Pain is typically located in the left lower quadrant. However, in people of Asian descent, pain is reported more on the right side. [3] Diarrhea; Constipation; Nausea ...
Sigmoid colon volvulus: Abdominal pain (>2 days, distention, constipation) Cecal volvulus: Abdominal pain (acute onset), nausea, vomiting Clinical (history and physical exam) Imaging (abdominal X-ray or CT) Sigmoid: Gastroenterology consultation (flexibile sigmoidoscopy) Cecal: General surgery consultation (right hemicolectomy) Ectopic ...
More young people are getting colon cancer. A man diagnosed at age 29 shares symptoms as part of this trend — pelvic pain, blood in stool, not being able to sit
Cecal volvulus is slightly less common than sigmoid volvulus and is associated with symptoms of abdominal pain and small bowel obstruction. Volvulus can also occur in patients with Duchenne muscular dystrophy due to smooth muscle dysfunction. [citation needed] Gastric volvulus causes nausea, vomiting, and pain in the upper abdomen.
Stercoral ulcer is an ulcer of the colon due to pressure and irritation resulting from severe, prolonged constipation due to a large bowel obstruction, damage to the autonomic nervous system, or stercoral colitis. It is most commonly located in the sigmoid colon and rectum.