Diverticular Wall Weakening in Complicated Diverticulitis
A weak point in the colon wall balloons outward under pressure.
- Sigmoid: Common site (Short placeholder note)
- Muscularis: Wall layer affected (Short placeholder note)
- 50+: Typical age (Short placeholder note)
- Low fiber: Risk driver (Short placeholder note)
Wall weakening mechanism
Placeholder text describing diverticular wall thinning briefly.
Free Perforation and Escape of Intraluminal Air
Full-thickness rupture lets bowel gas and contents escape freely.
- Acute: Onset (Short placeholder note)
- Diffuse: Pain pattern (Short placeholder note)
- Tachycardia: Vitals (Short placeholder note)
- III–IV: Hinchey stage (Short placeholder note)
Perforation event
Placeholder text describing the perforation event briefly.
CT Detection of Extraluminal Free Air
CT reveals pockets of free air confirming perforation.
- CT abd/pelvis: Modality (Short placeholder note)
- Free air: Key sign (Short placeholder note)
- High: Sensitivity (Short placeholder note)
- IV + oral: Contrast (Short placeholder note)
Imaging findings
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Fecal and Purulent Peritonitis Development
Spilled bowel contents spread infection across the peritoneum.
- Fecal/pus: Contamination (Short placeholder note)
- Sepsis: Complication (Short placeholder note)
- Elevated: Mortality risk (Short placeholder note)
- Urgent: Response needed (Short placeholder note)
Peritonitis spread
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Emergency Hartmann's Procedure and Colostomy Formation
Diseased segment is resected and an end colostomy is formed.
- Hartmann's: Procedure (Short placeholder note)
- End colostomy: Stoma type (Short placeholder note)
- Closed: Rectal stump (Short placeholder note)
- Later stage: Reversal (Short placeholder note)
Surgical approach
Placeholder text describing Hartmann's procedure briefly.