Colonic Diverticulum

Sites

  • Typically sigmoid, though occasionally can be R sided

Etiology

  • Perhaps related to chronic straining w/bowel movements

Risk Factors

  • Diets low in fiber

Symptoms

  • Painless blood per rectum
  • Can be small or very large amounts
  • Can stop spontaneously and recur

Physical Exam Findings

  • Bright red blood on rectal exam, passed in toilet bowl, mixed w/stool
  • Bleeding source not visible on exam