title: [Sigmoid diverticulitis].
abstract: BACKGROUND
  The sigmoid diverticulitis is the most common complication of diverticulosis of the colon. The remaining questions concern the current risk factors for recurrence after a first acute episode, radiological asking immediately upon suspicion of diverticulitis and therapeutic management including the indications of surgical treatment, what to conduct and its principles.
  
  
  METHODS
  Literature review.
  
  
  RESULTS
  Risk factors of recurrence are: persistent or recurrent diverticulitis, abscess, stenosis and / or fistula. Abdominal CT is recommended in all patients clinically suspected diverticulitis of the colon. Treatment of acute diverticulitis is medical. The emergency surgical treatment depends on the stage of Hinchey. Stage I: In case of failure of medical treatment, resection-anastomosis in an emergency time delay to be proposed. Stage II: a percutaneous drainage followed by resection-anastomosis in 1 time. Stage III: surgery in emergency sigmoid colectomy based on. Stage IV: Hartmann procedure is the procedure of reference. Prophylactic colectomy is proposed in the case of presence of risk factors of recurrence.
  
  
  CONCLUSIONS
  Comparison with other literature review were allowed to find that ultrasound made by an experienced radiologist could replace abdominal CT, and for stage III and IV Hinchey, laparoscopic resection can be performed with an immediate restoration of digestive continuity in well selected patients.
authors.affiliation: Hopital La Rabta, Tunis, Tunisie.
authors.forename: Amine
authors.initials: A
authors.lastname: Makni
authors.forename: Mohamed
authors.initials: M
authors.lastname: Jouini
authors.forename: Montassar
authors.initials: M
authors.lastname: Kacem
authors.forename: Zoubeir
authors.initials: Z
authors.lastname: Ben Safta
mesh_terms: D012809:Colon, Sigmoid / Q000601:surgery; D003952:Diagnostic Imaging; D004239:Diverticulitis, Colonic / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D012810:Sigmoid Diseases / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*