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Clinical features

Authoring team

Clinical features of a pericolic abscess include:

  • history of diverticular disease
  • continuous left iliac fossa pain
  • systemically unwell - swinging pyrexia, tachycardia - may present as PUO or septicaemia
  • on examination, abdominal findings range from localised tenderness in the left iliac fossa to localised peritonitis
  • purulent diarrhoea - the abscess may spontaneously drain into the colon
  • unresponsive to antibiotic treatment of acute diverticulitis

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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