S&S > Pts will complain of localized lower left sided colicky pain (95% of offending diverticula are in the sigmoid colon) - Often called left sided appendicitis - Low grade fever- N/V- Tenderness on palpation -Sx of shock (CPC, tachy) - Bright red and bloody feces (hematochezia)- c/o perception they cannot empty their rectum even after defecation