A 64-year-old man with a history of diverticular disease presents with left iliac fossa pain, low-grade fever and leukocytosis. He is haemodynamically...

Question

A 64-year-old man with a history of diverticular disease presents with left iliac fossa pain, low-grade fever and leukocytosis. He is haemodynamically stable, passes flatus and has no peritonism. CT confirms uncomplicated sigmoid diverticulitis. What is the most appropriate management?

Accepted Answer

Oral antibiotics, clear fluids and outpatient follow-up with safety-netting

Answer

Immediate laparotomy and segmental colectomy

Answer

No antibiotics and discharge without follow-up

Answer

High-dose steroids and bowel rest

Answer

Urgent colonoscopy within 24 hours

uk-plab-1 MCQ (SBA): Uncomplicated acute diverticulitis

A 64-year-old man with a history of diverticular disease presents with left iliac fossa pain, low-grade fever and leukocytosis. He is haemodynamically stable, passes flatus and has no peritonism. CT confirms uncomplicated sigmoid diverticulitis. What is the most appropriate management?