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Is A Patient With Diverticulitis At Higher Risk To Develop Peritonitis After A Hysterectomy?

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Posted on Sat, 27 Oct 2012
Question: Is a patient with diverticulitis at higher risk to develop peritonitis after a hysterectomy?
doctor
Answered by Dr. Grzegorz Stanko (20 minutes later)
Hello!

Thank you for the query.

I just want to make sure that by diverticulitis you understand acute inflammation of large intestine diverticle.
Diverticulitis always results with higher risk of perforation of diverticle and hysterectomy has nothing in common. That is why it is an emergency condition and should be treated right away. And it should be done in hospital. The patient should not take any foods for couple a days and antibiotics therapy is advisable. It is also contraindicated to have colonoscopy when acute inflammation is present.
Moreover, recurrent diverticulitis is an indication for large intestine surgery.
So do not neglect such condition.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Grzegorz Stanko (18 hours later)
Thank you Doctor,

After a hysterectomy the bowel was perforated, experienced peritonitis and not diagnosed for several days. Does that seem right? Shouldn't someone with diverticulitisis be considered high risk?

doctor
Answered by Dr. Grzegorz Stanko (35 minutes later)
Hello!

Thank you for the query.

Nobody with acute abdominal disease (including diverticulitis) should not have any regular surgery, only in emergency cases. It is also possible that in some cases hysterectomy will result with perforation even without diverticulitis as this is serious abdominal operation.

Hope this will help.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5797 Questions

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Is A Patient With Diverticulitis At Higher Risk To Develop Peritonitis After A Hysterectomy?

Hello!

Thank you for the query.

I just want to make sure that by diverticulitis you understand acute inflammation of large intestine diverticle.
Diverticulitis always results with higher risk of perforation of diverticle and hysterectomy has nothing in common. That is why it is an emergency condition and should be treated right away. And it should be done in hospital. The patient should not take any foods for couple a days and antibiotics therapy is advisable. It is also contraindicated to have colonoscopy when acute inflammation is present.
Moreover, recurrent diverticulitis is an indication for large intestine surgery.
So do not neglect such condition.

Hope this will help. Feel free to ask further questions.
Regards.