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Diagnostic and treatment strategy in complicated colon diverticulitis

I. Plachkov, Pl. Arnaudov, V. Bozhkov, Pl. Chernopolsky, R. Madjov

Abstract

Acute diverticulitis is a disease with a wide clinical spectrum, ranging from a phlegmon (stage I a) to localized abscesses (stages I b and II), to free perforation with purulent (stage III) or feculent (stage IV) peritonitis. The planned therapy of colonic diverticulitis is very difficult because preoperative diagnosis is uncommon and the method of treatment is usually decided at the time of laparotomy. While there is a little debate about the best treatment for mild episodes, uncertainty persists about the optimal management for severe episodes and complicated diverticulitis.


Keywords

complicated diverticulitis; Hartmann`s operation; Resection with primary anastomosis

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DOI: http://dx.doi.org/10.14748/ssm.v43i5.1192

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About The Authors

I. Plachkov
Second department of surgery, UMHAT St. Marina, Medical university of Varna
Bulgaria

Pl. Arnaudov
Second department of surgery, UMHAT St. Marina, Medical university of Varna
Bulgaria

V. Bozhkov
Second department of surgery, UMHAT St. Marina, Medical university of Varna
Bulgaria

Pl. Chernopolsky
Second department of surgery, UMHAT St. Marina, Medical university of Varna
Bulgaria

R. Madjov
Second department of surgery, UMHAT St. Marina, Medical university of Varna
Bulgaria

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