A 69-year-old woman has severe constant left iliac fossa pain, fever and altered bowel habit. CT abdomen shows sigmoid diverticular inflammation with

Question

A 69-year-old woman has severe constant left iliac fossa pain, fever and altered bowel habit. CT abdomen shows sigmoid diverticular inflammation with a 5 cm abscess. What is the most appropriate management?

Accepted Answer

Admit for IV antibiotics and surgical or interventional radiology review

Answer

Reassure and advise increased dietary fibre alone

Answer

Outpatient faecal calprotectin

Answer

Immediate laxatives as sole therapy

Answer

Routine colonoscopy during the acute episode

Complicated diverticulitis — PARA MCQ

A 69-year-old woman has severe constant left iliac fossa pain, fever and altered bowel habit. CT abdomen shows sigmoid diverticular inflammation with a 5 cm abscess. What is the most appropriate management?