Complicated diverticular disease : case report

Abstract

Diverticulosis of the left colon is an increasingly common pathology in Western countries. Its prevalence is increasing throughout the world, which is associated with changes in conditions and lifestyle (1-5). This pathology is more typical for older age groups, but in recent years there has been an intense increase in the incidence rate at a younger age (2). The most common characteristic of diverticular bowel disease is asymptomatic flow (80% of cases). In 5–20% of patients with colon diverticulosis, the disease becomes a diverticular disease, and complications develop in 15% of cases. Diverticulitis, as a complication of colon diverticular disease, comes first. In general, the complicated course of the disease is 75%, while the perforation of the diverticulum is the 4th in frequency among the causes of emergency surgery after acute appendicitis, perforative gastroduodenal ulcer and intestinal obstruction, as well as the 3rd in the frequency among the causes of intestinal stems. The frequency of formation of intra-abdominal abscess or the development of peritonitis with diverticular disease is 3.5-4 cases per 100 thousand people per year (2,3). Also, diverticula are one of the causes of colonic bleeding. However, when making decisions on the diagnosis and treatment of a complicated course of diverticular disease, specialists are more often guided by their own preferences rather than by evidence-based medicine, which is explained by the lack of modern scientific work of a high level of evidence on this issue.