NREMT Paramedic Practice

What potential complication might occur with diverticulitis if untreated?

1. Appendicitis

2. Sepsis

3. Pancreatitis

4. Cholecystitis

The correct answer is: Sepsis

Diverticulitis can lead to sepsis when it is untreated due to the inflammation and potential perforation of the diverticula, which are small pouches that can form in the colon wall. When diverticulitis occurs, the inflamed or infected pouches can rupture, releasing bacteria and intestinal contents into the abdominal cavity. This spill can result in peritonitis, an infection of the peritoneum, and subsequently, the bacteria can enter the bloodstream, leading to sepsis—a life-threatening systemic response to infection characterized by widespread inflammation and potential organ dysfunction. Other complications, such as appendicitis, pancreatitis, or cholecystitis, are not direct consequences of diverticulitis. Appendicitis involves inflammation of the appendix and is a separate condition. Pancreatitis refers to inflammation of the pancreas, which may arise from other factors such as gallstones or alcohol consumption, rather than diverticulitis. Cholecystitis is the inflammation of the gallbladder, also not directly related to the complications of diverticulitis. Understanding these relationships is crucial for recognizing the severity of untreated diverticulitis and managing it effectively in clinical practice.