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DIVERTICULITIS

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The primary finding here is the local area of hyperthermia over the hepatic flexure of the colon. Diverticulitis was diagnosed after clinical correlation with thermographic findings.

Diverticulosis / Diverticulitis.

Diverticulosis refers to a condition in which the inner, lining layer of the large intestine (colon) bulges out (herniates) through the outer, muscular layer. These outpouchings are called diverticula. Diverticulitis refers to the development of inflammation and infection in one or more diverticula.

Diverticula tend to occur most frequently in the last segment of the large intestine, the sigmoid colon. They occur with decreasing frequency as one examines further back toward the beginning of the large intestine. The chance of developing diverticula increases with age, so that by the age of 50, about 20-50% of all people will have some diverticula. By the age of 90, virtually everyone will have developed some diverticula. Most diverticula measure about 3 mm to just over 3 cm in diameter. Larger diverticula, termed giant diverticula, are quite infrequent, but may measure as large as 15 cm in diameter.

Diverticula are believed to be caused by overly forceful contractions of the muscular wall of the large intestine. As areas of this wall spasm, they become weaker and weaker, allowing the inner lining to bulge through. The anatomically weakest areas of the intestinal wall occur next to blood vessels which course through the wall, so diverticula commonly occur in this location.

Diverticula are most common in the developed countries of the West (North America, Great Britain, northern and western Europe). This is thought to be due to the diet of these countries, which tends to be quite low in fiber. A diet low in fiber results in the production of smaller volumes of stool. In order to move this smaller stool along the colon and out of the rectum, the colon must narrow itself significantly, and does so by contracting down forcefully. This causes an increase in pressure, which, over time, weakens the muscular wall of the intestine and allows diverticular pockets to develop.

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