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Postcolonoscopy Diverticulitis
Mahmoud E Essam1,2, Iosif Beintaris1, Matthew D Rutter1
1Department of Gastroenterology, University Hospital of North Tees and Hartlepool, Stockton-On Tees, United Kingdom.
ACG Case Reports Journal
|May 13, 2024
Summary
Postcolonoscopy diverticulitis is a rare complication following the procedure. Recognizing this condition and its potential risk factors, like extensive diverticulosis, is crucial for timely management.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Colonoscopy is a common diagnostic procedure with a low risk of complications.
- Diverticulitis is an inflammation of diverticula, commonly occurring in the colon.
Observation:
- Two cases of postcolonoscopy diverticulitis (PCD) are presented in women with extensive diverticulosis (DICA score ≥2) but no active inflammation prior to colonoscopy.
- Both patients developed acute sigmoid diverticulitis after undergoing colonoscopy, with one experiencing a recurrent episode.
Findings:
- Postcolonoscopy diverticulitis is a rare complication, with a reported prevalence of 0.04%-0.08%.
- The pathogenesis of PCD remains unclear, but extensive diverticulosis (DICA score ≥2) may be a risk factor.
- Conservative management with antibiotics was effective in both presented cases.
Implications:
- Clinicians should consider PCD in the differential diagnosis of post-colonoscopy complications.
- Early recognition and appropriate management of PCD are essential for patient recovery.
- Further research into the pathogenesis and risk factors of PCD is warranted.
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