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Condition
Reason
Three or more attacks of mild diverticulitis (or one attack in someone younger than 50)
High risk of serious complications
Narrowing of the sigmoid colon (lower part of the large intestine) due to scarring
Persistent tender mass in the abdomen
May be cancer
Endoscopy or x-rays showing suspicious changes in the sigmoid colon
Pain when urinating (dysuria) or air in the urine (pneumaturia)
May be a warning of impending fistula formation between the large intestine and the bladder
Sudden abdominal pain in people taking corticosteroids
Large intestine may have ruptured into the abdominal cavity