What Is the Difference Between Diverticulosis and Diverticulitis?

Perforation: A Serious Complication of Diverticulitis

Diverticulitis, although common, can sometimes lead to a rare but extremely serious complication known as abdominal perforation. This occurs when the walls of the intestine tear, causing the contents to spill into the peritoneum, the lining of the abdominal cavity. Abdominal perforation is considered a life-threatening medical emergency and requires immediate surgical intervention. However, it’s important to note that this complication is rare and typically not something that individuals with uncomplicated diverticulitis need to worry about.


Prevalence of Diverticulosis

Diverticulosis is a commonly occurring condition. In the United States, it is estimated that approximately 35 percent of adults aged 50 or older have diverticulosis. The prevalence increases with age, reaching 58 percent among individuals aged 60 and older. Previously, experts believed that between ten and 25 percent of individuals with diverticulosis would develop diverticulitis. However, recent research has revealed that this figure is significantly lower, with less than five percent of individuals progressing to diverticulitis.

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