MSD Manual

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Diverticulitis: Examples of Reasons for Elective Surgery

Diverticulitis: Examples of Reasons for Elective Surgery

Condition

Reason

Three or more attacks of mild diverticulitis (or one attack in someone younger than 50)

High risk of serious complications

Narrowing of the sigmoid colon (lower part of the large intestine) due to scarring

High risk of serious complications

Persistent tender mass in the abdomen

May be cancer

Endoscopy or x-rays showing suspicious changes in the sigmoid colon

May be cancer

Pain when urinating (dysuria) or air in the urine (pneumaturia)

May be a warning of impending fistula formation between the large intestine and the bladder

Sudden abdominal pain in people taking corticosteroids

Large intestine may have ruptured into the abdominal cavity