Big diverticulum with Fecalith (Filled with Faeces) Inspissated stool or a fecalith within a thin walled diverticulum will cause erosion and inflammation leading to infection and perforation. This may vary from a minimal peridiverticular phlegmon, which progresses to a peridiverticular or mesenteric abscess, which may then become a walled off pelvic or intra-abdominal abscess, to one that perforates into the free peritoneal cavity causing generalized peritonitis. Usually only one diverticulum becomes inflamed leading to the different stages of inflammation noted.
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