True about diverticulitis:a) Occurs at any ageb) Often incidental finding at operationc) Young patients have more aggressive diseased) Left sided colon involvement is more commone) Operation is not for all patients

• Diverticulitis is the result of inflammation (perforation) of colonic diverticulum • The term is somewhat misnomer because the disease is actually an extraluminal pericolic infection caused by the extravasation of feces through the perforated diverticulum. Complications • Recurrent periodic inflammation and pain • Perforation leading to general peritonitis or local (pericolic) abscess formation. • Intestinal obstruction: In the sigmoid (as a result of progressive fibrosis causing stenosis) and in the small intestine (caused by adherent loops of small intestine on the pericolitis) • Hemorrhage: Profuse colonic hemorrhage in 17% of cases, often requiring blood transfusions. • Bleeding in diverticulosis may be massive but in about 80% patients are self limited and stop spontaneously. These patients do not require surgery • Fistula formation (vesicocolic, vaginocolic, enterocolic, colocutaneous): MC is vesicocolic Clinical Features • Mild cases: mDistension, flatulence and a sensation of heaviness in the lower abdomen • Emergency: Persistent lower abdominal pain, usually in the left iliac fossa, with or without peritonitis, could be caused by diverticulitis. • Fever, malaise and leukocytosis can differentiate diverticulitis from painful diverticulosis. • The sigmoid colon is often palpable, tender and thickened. • Any urinary symptoms may herald the formation of a vesicocolic fistula, which leads to pneumaturia (flatus in the urine) and even feces in the urine (fecaluria)