scholarly journals Inverted colonic diverticula cases

2021 ◽  
Vol 12 (3) ◽  
Author(s):  
Arzu TİFTİKÇİ ◽  
Emrehan PARLAK ◽  
Bircan BOĞA ◽  
Serpil YILMAZ ◽  
Bahattin ÇİÇEK
Keyword(s):  
Colonic Diverticula

Assessment of Duodenal Diverticula: Computed Tomography Findings

2019 ◽  
Vol 15 (10) ◽  
pp. 948-955
Author(s):  
Erdem Yilmaz ◽  
Osman Kostek ◽  
Savas Hereklioglu ◽  
Muhammet Goktas ◽  
Nermin Tuncbilek
Keyword(s):  
Computed Tomography ◽  
Contrast Agent ◽  
Ampulla Of Vater ◽  
Common Type ◽  
Radiological Features ◽  
New Findings ◽  
Duodenal Diverticula ◽  
Median Diameter ◽  
Colonic Diverticula

Aims: To demonstrate the prevalence, accompanying pathologies, imaging and follow up findings of Duodenal Diverticula (DD) with Multidetector Computed Tomography (MDCT). Materials and Methods: Consecutive 2910 abdominal MDCTs were retrospectively reviewed on axial, coronal and sagittal planes. DD were evaluated for prevalence, location, number, size, contents, diverticular neck, accompanying pancreaticobiliary pathologies, jejunal and colonic diverticula, respectively. Results: DD were diagnosed in 157 cases (5.4%) and found mostly in the second part of the duodenum. Juxta-ampullary DD was the most common type (78.3%) and mostly located ventral (n:86, 69.9%) to the ampulla of Vater. DD was solitary in 123 patients (78.3%) and more than one in 34 patients (21.7%). The median diameter of DD was 2.5 cm (range 1.5-3.6 cm) in the long-axis. The lumen of DD contains air and contrast agent (n:96, 61.1%); air, contrast agent and debris (n:42, 26.7%) in most cases. Colonic diverticula (n:36, 22.9%), cholelithiasis (n:32, 20.4%), choledocholithiasis (n:7, 4.4%), and biliary dilatation (n:8, 5.1%) were the most common additional findings. Median follow-up time was 23 months (range 11 to 41 months). In three cases, new findings (cholelithiasis, n:3, choledocholithiasis, n:1) were detected. Conclusion: Accompanying pathologies with DD diagnosis are valuable for physicians in order to manage the patients. Following clinical and radiological features of well-diagnosed DD might reduce the possible complications.

scholarly journals Giant sigmoid diverticulitis mimicking acute appendicitis

2011 ◽  
Vol 93 (6) ◽  
pp. e89-e90 ◽  
Author(s):  
M Anderton ◽  
B Griffiths ◽  
G Ferguson
Keyword(s):  
Computed Tomography ◽  
Iliac Fossa ◽  
Treatment Options ◽  
Sigmoid Diverticulitis ◽  
Acute Presentation ◽  
Rare Manifestation ◽  
Giant Sigmoid Diverticulum ◽  
Right Iliac Fossa Pain ◽  
Colonic Diverticula

Giant colonic diverticula are a rare manifestation of diverticular disease and there are fewer than 150 cases described in the literature. They may have an acute or chronic presentation or may remain asymptomatic and be found incidentally. As the majority (over 80%) of giant diverticula are located in the sigmoid colon, they usually present with left-sided symptoms but due to the variable location of the sigmoid loop, right-sided symptoms are possible. We describe the acute presentation of an inflamed giant sigmoid diverticulum with right iliac fossa pain. We discuss both the treatment options for this interesting condition and also the important role of computed tomography in the diagnosis and management of abdominal pain in elderly patients.

Effect of Crohn's disease on colonic diverticula

1976 ◽  
Vol 49 (587) ◽  
pp. 926-929 ◽  
Author(s):  
F. R. Berridge ◽  
A. P. Dick
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Colonic Diverticula

scholarly journals Colonic diverticula. Pathology and natural history.

BMJ ◽  
1970 ◽  
Vol 3 (5722) ◽  
pp. 565-567 ◽  
Author(s):  
H Ellis
Keyword(s):  
Natural History ◽  
Colonic Diverticula

Colonic diverticular disease

2010 ◽  
pp. 2389-2394
Author(s):  
S.Q. Ashraf ◽  
M.G.W. Kettlewell ◽  
N.J. McC. Mortensen
Keyword(s):  
Diverticular Disease ◽  
Underlying Disease ◽  
Bowel Habit ◽  
Elective Resection ◽  
Sigmoid Carcinoma ◽  
Fibre Diet ◽  
Descending Colon ◽  
Colonic Diverticula ◽  
Colonic Diverticular Disease ◽  
European Populations

Colonic diverticula are herniations of mucosa through the bowel musculature. They are seen most often in the sigmoid and descending colon, with a prevalence of up to 65% over the age of 80 in European populations, but they are uncommon in African and Asian countries, where the prevalence is 0.2%. A lifelong diet deficient in dietary fibre is associated with their development, but it is not known why some diverticula become symptomatic. A rise in intradiverticular pressure may play a role in perforation. Diverticula are usually discovered incidentally, but symptoms which are attributable to diverticular disease include colicky abdominal pain and bloating, often accompanied by a change in bowel habit with the passage of broken, pellety stools after considerable straining. All patients with such presentation should be investigated to exclude rectal or sigmoid carcinoma. Treatment is with reassurance that there is no serious underlying disease, a high-fibre diet, and—for patients with pain—antispasmodics such as mebeverine. Elective resection is indicated in the few patients who have repeated severe attacks....

Colonic diverticular disease

2020 ◽  
pp. 2960-2966
Author(s):  
Nicolas C. Buchs ◽  
Roel Hompes ◽  
Shazad Q. Ashraf ◽  
Neil J.McC. Mortensen
Keyword(s):  
Diverticular Disease ◽  
Acute Diverticulitis ◽  
Underlying Disease ◽  
Fistula Formation ◽  
Bowel Habit ◽  
Elective Resection ◽  
Sigmoid Carcinoma ◽  
Fibre Diet ◽  
Colonic Diverticula ◽  
Colonic Diverticular Disease

Colonic diverticula are herniations of mucosa through the bowel musculature. They are seen most often in the sigmoid and descending colon, with a prevalence of up to 65% in people over the age of 80 in European populations. They are uncommon in African and Asian countries, where the prevalence is only 0.2%. A lifelong diet deficient in dietary fibre is associated with their development, but it is not known why some diverticula become symptomatic. Diverticula are usually discovered incidentally, but symptoms which are attributable to diverticular disease include colicky abdominal pain and bloating, often accompanied by a change in bowel habit with the passage of broken, pellety stools after considerable straining. All patients with such presentation should be investigated to exclude rectal or sigmoid carcinoma. Treatment is with reassurance that there is no serious underlying disease, a high-fibre diet, and—for patients with pain—antispasmodics such as mebeverine. Elective resection may be indicated in the few patients who have repeated severe attacks. Complications of diverticular disease include diverticulitis, pericolic abscess formation, peritonitis, intestinal obstruction, haemorrhage, and fistula formation. Acute diverticulitis typically presents with pain and tenderness over the left lower abdomen, and the patient may have pyrexia, malaise, anorexia, and nausea. Treatment is with rest, broad-spectrum antibiotics, and analgesia. Resection of the sigmoid colon may be necessary if symptoms fail to resolve or recur, or for patients with complications (peritonitis, fistula, obstruction). Overall, percutaneous drainage, antibiotic treatment, and expectant policies have reduced the need for both acute and elective surgical treatment.

Rare over-the-scope clip-associated complication: Development of pocket of abdominal cavity following treatment of colonic diverticula

2020 ◽  
Vol 52 (12) ◽  
pp. 1515-1516
Author(s):  
Shintaro Fujihara ◽  
Hideki Kobara ◽  
Noriko Nishiyama ◽  
Tsutomu Masaki
Keyword(s):  
Abdominal Cavity ◽  
Over The Scope Clip ◽  
Colonic Diverticula
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