Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of left lower quadrant (LLQ) abdominal pain, localized tenderness, and low-grade fever. Symptoms associated with nausea, decreased appetite, and altered bowel habits. No signs of generalized peritonitis or hemodynamic instability. CT imaging confirms acute diverticulitis with a localized pericolic abscess (Hinchey I).
Clinical Examination Findings
Abdominal exam reveals localized tenderness in the LLQ with guarding. No rebound tenderness or rigidity noted. Bowel sounds are hypoactive. Patient is afebrile/febrile, hemodynamically stable. Digital rectal exam (DRE) is negative for blood or masses.
Treatment Protocol
Initiate bowel rest (clear liquid diet) and broad-spectrum intravenous antibiotics (e.g., Ciprofloxacin/Metronidazole or Piperacillin/Tazobactam). Monitor inflammatory markers (CRP/WBC). Serial abdominal exams to monitor for progression. Surgical consultation for potential percutaneous drainage if abscess size increases or clinical status deteriorates.