Acquired Diverticulosis of the Entire Colon in a Cadaver

Jean-Marc P Lucas1, Carey A Roberts2, Carly A Gunderson3

  • 1Anatomy, Lake Erie College of Osteopathic Medicine, Bradenton, USA.

Cureus
|October 23, 2020
PubMed

Insights

A rare case of pancolonic diverticulosis, affecting the entire colon, was found in a cadaver. This unusual presentation, with most diverticula in the right colon, highlights potential links to systemic diseases and recurrent diverticulitis.

Area of Science:

  • Gastroenterology
  • Pathology
  • Anatomy

Background:

  • Diverticulosis, characterized by the presence of diverticula in the colon, is common in Western societies, typically affecting the sigmoid colon.
  • Pancolonic diverticulosis, involving the entire colon, is considered rare, particularly in Western populations.

Observation:

  • A routine autopsy revealed extensive diverticulosis throughout the entire colon of a 74-year-old Caucasian female cadaver.
  • A total of 413 diverticula were identified, with a majority originating from the ascending and transverse colon, an atypical distribution.

Findings:

  • Histological examination confirmed the diverticula as pseudodiverticula, indicating an acquired condition.
  • The atypical distribution of diverticula in the right and transverse colon was noted.

Implications:

  • This case underscores the importance of recognizing rare presentations of diverticular disease.
  • Pancolonic diverticulosis may be associated with systemic conditions like collagen disorders and vascular complications.
  • Understanding such cases is crucial for accurate diagnosis and management of gastrointestinal symptoms.