Diverticulitis results from inflammation of a colonic diverticulum, with subsequent microperforation. The most common symptoms include left lower quadrant abdominal pain, which may be cramping in nature initially, but then becomes steady, and fever. Associated symptoms may include nausea, vomiting, constipation, diarrhea, dysuria, and urinary frequency. The most common physical sign is tenderness in the left lower quadrant. There may be other signs of localized peritoneal inflammation, such as involuntary guarding, and percussion tenderness in a localized area. Occasionally, a tender mass, which represents a phlegmon, can be palpated. There will be some tenderness in the pelvis with rectal examination.
Sleisenger & Fordtran's Gastrointestinal and Liver Disease, 7th ed, 2002, Elsevier Science, Chapter 108-
Diverticular Disease of the Colon, Clifford L. Simmang and G. Thomas Shires, III, pp 2106--2107
Bates' Guide to Physical Examination and History Taking, Chapter 9: The Abdomen, pp. 350--351
Case Study: Left-Sided Back Pain: Adult
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