TY - JOUR
T1 - Diverticular colitis with progression to ulcerative colitis after sigmoidectomy
T2 - A report of two cases
AU - Fujioka, Shin
AU - Hirakawa, Katsuya
AU - Matsuzaka, Tomoko
AU - Matsuno, Yuichi
AU - Yoshida, Yuichiro
AU - Hirata, Takashi
AU - Kawamoto, Toru
AU - Kudo, Tetsuji
AU - Nakashima, Yutaka
AU - Esaki, Motohiro
PY - 2016/4
Y1 - 2016/4
N2 - We report two cases of diverticular colitis (DC) that subsequently progressed to ulcerative colitis (UC) after sigmoidectomy. The two patients underwent surgery because of either repeated diverticulitis or intractable bleeding. In case 1 (55-year-old male), colonoscopy revealed scattered reddish mucosa on crescentic folds, polypoid lesions and stenosis preoperatively. In case 2 (69-year-old female), preoperative colonoscopy and barium enema study depicted multiple diverticula and diffuse reddish granular mucosa resembling UC in the sigmoid colon, whereas no obvious inflammatory change was found in the rectum. Diarrhea and hematochezia occurred in both patients 28 and 13 months after the surgery, respectively, resulting in confirmation of typical UC. Careful follow-up is necessary in patients with DC considering that DC has a potential to develop into typical UC.
AB - We report two cases of diverticular colitis (DC) that subsequently progressed to ulcerative colitis (UC) after sigmoidectomy. The two patients underwent surgery because of either repeated diverticulitis or intractable bleeding. In case 1 (55-year-old male), colonoscopy revealed scattered reddish mucosa on crescentic folds, polypoid lesions and stenosis preoperatively. In case 2 (69-year-old female), preoperative colonoscopy and barium enema study depicted multiple diverticula and diffuse reddish granular mucosa resembling UC in the sigmoid colon, whereas no obvious inflammatory change was found in the rectum. Diarrhea and hematochezia occurred in both patients 28 and 13 months after the surgery, respectively, resulting in confirmation of typical UC. Careful follow-up is necessary in patients with DC considering that DC has a potential to develop into typical UC.
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M3 - Article
AN - SCOPUS:85028771433
SN - 0387-1207
VL - 58
SP - 976
EP - 982
JO - GASTROENTEROLOGICAL ENDOSCOPY
JF - GASTROENTEROLOGICAL ENDOSCOPY
IS - 4
ER -
