This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Haemorrhage (diverticular)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Haemorrhage as a result of a diverticulum can be life-threatening. The differential diagnosis of intra-abdominal bleeding is:

  • severe haemorrhoidal bleeding into the colon
  • angiodysplasia on the right side of the colon
  • polyps and cancer

Investigation is undertaken with:

  • colonoscopy: done peroperatively after an on-table colonic washout
  • angiography: may show a vascular abnormality or pooling of contrast in the intestine
  • bleeding scans: achieved by scanning after prior adminstration of radio-labelled red cells

The indication for surgical intervention is unclear, but the loss of four or more units has been suggested as a threshold. If the bleeding site is not known, the choice of operation is total colectomy with an ileorectal anastomosis or ileostomy. If the bleeding point has been visualised, a segmental resection should be undertaken.


Related pages

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.