Diverticulum

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
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Diverticulum
File:Schematic picture of the diverticulum.jpg
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Often asymptomatic, but can include abdominal pain, bloating, and changes in bowel habits
Complications	Diverticulitis, perforation, abscess, fistula, bleeding
Onset	Typically occurs in older adults
Duration	Chronic
Types	N/A
Causes	Increased pressure in the colon, diet low in fiber
Risks	Age, obesity, smoking, lack of exercise
Diagnosis	Colonoscopy, CT scan, barium enema
Differential diagnosis	Irritable bowel syndrome, colorectal cancer, inflammatory bowel disease
Prevention	High-fiber diet, regular exercise
Treatment	High-fiber diet, antibiotics for infection, surgery in severe cases
Medication	N/A
Prognosis	Generally good with treatment
Frequency	Common in Western countries, especially in older adults
Deaths	N/A

A diverticulum is a medical term used to describe an outpouching or sac-like protrusion that can form in the walls of various hollow organs in the body. These structures can occur in the gastrointestinal tract, urinary bladder, and other areas. Diverticula can be congenital or acquired and may vary in size and number.

Types of Diverticula

Gastrointestinal Diverticula

The most common location for diverticula is the colon, particularly the sigmoid colon. These are known as colonic diverticula and are often associated with a condition called diverticulosis.

File:Diverticula, sigmoid colon.jpg

Diverticula, sigmoid colon

Esophageal Diverticula

Esophageal diverticula are outpouchings that occur in the esophagus. They can be classified based on their location:

• Zenker's diverticulum: Located in the upper esophagus.
• Midthoracic diverticulum: Found in the mid-esophagus.
• Epiphrenic diverticulum: Occurs just above the diaphragm.

File:Oesophageal diverticula.svg

Oesophageal diverticula

Meckel's Diverticulum

Meckel's diverticulum is a congenital diverticulum of the small intestine, specifically the ileum. It is a remnant of the vitelline duct and is the most common congenital anomaly of the gastrointestinal tract.

File:Diverticule de Meckel.jpg

Diverticule de Meckel

Urinary Bladder Diverticula

Diverticula can also form in the urinary bladder. These are often due to increased pressure within the bladder, which causes the bladder wall to protrude outward.

File:Harnblasendivertikel-transversal.jpg

Harnblasendivertikel transversal

Pathophysiology

Diverticula form when there is a weakness in the muscular wall of an organ, allowing the inner lining to protrude through. In the colon, this is often due to increased intraluminal pressure, which can be exacerbated by a low-fiber diet. In the esophagus, motility disorders can contribute to the formation of diverticula.

Clinical Significance

Diverticula themselves are often asymptomatic and may be discovered incidentally during imaging studies. However, they can lead to complications such as:

• Diverticulitis: Inflammation of a diverticulum, often in the colon, leading to pain and infection.
• Bleeding: Diverticula can erode into blood vessels, causing bleeding.
• Perforation: A diverticulum can rupture, leading to peritonitis or other serious conditions.

Diagnosis

Diverticula are typically diagnosed using imaging techniques such as CT scan, barium enema, or endoscopy.

Treatment

Treatment depends on the location and symptoms of the diverticula. Asymptomatic diverticula may not require treatment, while symptomatic cases may need dietary changes, medications, or surgery.

See also

• Diverticulosis
• Diverticulitis
• Meckel's diverticulum
• Esophageal diverticulum