The Microbial Ecosystem Distinguishes Chronically Diseased Tissue from Adjacent Tissue in the Sigmoid Colon of Chronic, Recurrent Diverticulitis Patients

We report 2 unusual elastotic lesions of intestinal subserosal fat. The first arose in the small bowel subserosa of a 64-year-old woman with volvulus. It was undetected macroscopically and consisted of a relatively circumscribed focus of elastosis, with essentially no evidence of fibrosis or blood vessel walls within. The second arose in the subserosa of the sigmoid colon in a 46-year-old woman with recurrent diverticulitis. It was also undetected macroscopically and consisted of a well-circumscribed nodule of elastic fibers surrounding prominent veins and arteries. Both patients had unremarkable postoperative courses. These lesions likely represent localized response to injury and are probably underrecognized.

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Impacted foreign body in the sigmoid colon presenting as recurrent diverticulitis

Clinical Journal of Gastroenterology ◽

10.1007/s12328-011-0212-2 ◽

2011 ◽

Vol 4 (2) ◽

pp. 104-107 ◽

Cited By ~ 3

Author(s):

Jaime Ramos ◽

Dorothy E. Dean ◽

Elias Tarakji ◽

Jeremy Rich

Keyword(s):

Foreign Body ◽

Sigmoid Colon ◽

Recurrent Diverticulitis ◽

Impacted Foreign Body

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Epiploic Appendagitis Mimicking Recurrent Diverticulitis

Case Reports in Surgery ◽

10.1155/2018/1924067 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

R. Plummer ◽

Y. Sekigami ◽

Lilian Chen ◽

James Yoo

Keyword(s):

Abdominal Pain ◽

Ct Scan ◽

Sigmoid Colon ◽

Lower Quadrant ◽

Epiploic Appendagitis ◽

Left Lower Quadrant ◽

Quadrant Abdominal Pain ◽

Recurrent Diverticulitis ◽

Intravenous Antibiotics ◽

History Of

Here, we report a case in which a patient with an extensive history of diverticulitis of the sigmoid colon presented with left lower quadrant abdominal pain similar to her previous episodes of diverticulitis. An initial diagnosis of diverticulitis was made based on her history and exam, intravenous antibiotics were given, and an elective surgical resection was considered. However, a subsequent CT scan revealed epiploic appendagitis with no evidence of diverticulitis. Though uncommon, in patients with a history of recurrent diverticulitis, alternative causes of left lower quadrant abdominal pain such as epiploic appendagitis should be considered as this may alter future treatment decisions.

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Adenoma of the Rectum and Sigmoid Colon: Incidence Revealed by Proctosigmoidoscopic Examination of a Group of Patients Free of Complaints Referable to the Colon and Rectum

Gastroenterology ◽

10.1016/s0016-5085(19)36478-9 ◽

1950 ◽

Vol 16 (4) ◽

pp. 669-673 ◽

Cited By ~ 13

Author(s):

Edward W. Hauch ◽

Louis A. Buie ◽

J. Arnold Bargen ◽

Lucian A. Smith

Keyword(s):

Sigmoid Colon ◽

Colon And Rectum

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Diverticulitis and Carcinoma of the Sigmoid Colon

Gastroenterology ◽

10.1016/s0016-5085(19)36192-x ◽

1954 ◽

Vol 27 (1) ◽

pp. 67-74 ◽

Cited By ~ 3

Author(s):

Joseph Shaiken

Keyword(s):

Sigmoid Colon

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Anus Rectum Sigmoid Colon.

Gastroenterology ◽

10.1016/s0016-5085(50)80197-x ◽

1950 ◽

Vol 14 (4) ◽

pp. 596

Keyword(s):

Sigmoid Colon

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Castleman's Disease Masquerading as Sigmoid Colon Tumor and Hodgkin Lymphoma

Swiss Surgery ◽

10.1024/1023-9332.8.1.7 ◽

2002 ◽

Vol 8 (1) ◽

pp. 7-10 ◽

Cited By ~ 6

Author(s):

Altinli ◽

Pekmezci ◽

Balkan ◽

Somay ◽

M. Akif Buyukbese ◽

...

Keyword(s):

Lymph Nodes ◽

Hodgkin Lymphoma ◽

Sigmoid Colon ◽

Castleman’S Disease ◽

Malignant Potential ◽

Colon Tumor ◽

Rare Entity ◽

Castleman's Disease ◽

Mediastinal Lymph Nodes ◽

Histologic Types

Castleman's disease is a benign lymphoid neoplasm first reported as hyperplasia of mediastinal lymph nodes. Some authors referred to the lesions as isolated tumors, described as a variant of Hodgkin's disease with a possibility of a malignant potential and others proposed that the lymphoid masses were of a hamartomatous nature. Three histologic variants and two clinical types of the disease have been described. The disease may occur in almost any area in which lymph nodes are normally found. The most common locations are thorax (63%), abdomen (11%) and axilla (4%). We report two separate histologic types of Castleman's disease which were rare in the literature, mimicking sigmoid colon tumor and Hodgkin lymphoma. The diagnostic and therapeutic aspects of this rare entity is discussed.

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