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The modern approach to large bowel diverticulae is nowadays directed to localize group of patients, at risk for complications, who can be admitted to prophylactic surgery in order to avoid large number of emergency treatments. Despite this clinical attention 10% to 25% of the patients develop a minor or major complication either septic or bleeding. Surgery still remain the most common approach, and above all resection anastomosis treatment are to be preferred. Radiological and endoscopic diagnosis and care are getting more and more better in dealing with acute localised peritonitis and bleeding and can avoid invasive treatments when possible for a number of selected patients.
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