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Segmental Colitis Associated With Diverticulosis
Om V Sakhalkar1, Arnav Goyal1, Abdul Rahman Abualruz1
1Radiology, Augusta University Medical College of Georgia, Augusta, USA.
Cureus
|June 9, 2023
Summary
Segmental colitis associated with diverticulosis (SCAD) is a rare condition causing colonic wall thickening. Early diagnosis through imaging and colonoscopy is crucial for differentiating SCAD from other colitis types.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pathology
Background:
- Segmental colitis associated with diverticulosis (SCAD) is an uncommon condition.
- It presents with segmental, circumferential colonic wall thickening in patients with diverticulosis.
Observation:
- A 57-year-old female with diverticulosis experienced chronic abdominal pain, diarrhea, and hematochezia.
- Imaging showed sigmoid and descending colon wall thickening; colonoscopy revealed mucosal edema and erosions.
- Histopathology confirmed chronic colitis with inflammation and granuloma formation.
Findings:
- The case demonstrates characteristic imaging, endoscopic, and histopathological findings of SCAD.
- The patient's symptoms improved with antibiotics and mesalamine treatment.
Implications:
- This case underscores the importance of considering SCAD in patients with diverticulosis and lower abdominal symptoms.
- Accurate differentiation from other colitis forms requires comprehensive evaluation including imaging, endoscopy, and biopsy.
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