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A Case of Inverted Colonic Diverticulum.
Maysa Al-Badawi1, Omar G Alturkmani1, Shafeq G Al Turkmani2
1General Medicine, Digestive Disease and Nutrition Center, Burton, USA.
Cureus
|June 3, 2024
Summary
Inverted colonic diverticulum (ICD) is a rare colonoscopy finding often mistaken for polyps. Proper identification prevents complications like perforation from unnecessary procedures.
Area of Science:
- Gastroenterology
- Endoscopy
- Colorectal Surgery
Background:
- Inverted colonic diverticulum (ICD) is an uncommon endoscopic finding.
- ICD is frequently misdiagnosed as colonic polyps during colonoscopy.
- Misdiagnosis can lead to invasive procedures like polypectomy or biopsy.
Observation:
- This case report details a patient diagnosed with inverted colonic diverticulum.
- The lesion was identified during a standard colonoscopy examination.
- Gentle endoscopic manipulation, including probe eversion, confirmed the diagnosis.
Findings:
- Inverted colonic diverticulum presents a diagnostic challenge on colonoscopy.
- Distinguishing ICD from colonic polyps is crucial for patient safety.
- Failure to differentiate can result in iatrogenic complications.
Implications:
- Awareness of ICD among endoscopists is vital to prevent misdiagnosis.
- Correct identification of ICD avoids unnecessary and potentially harmful interventions.
- This highlights the importance of careful endoscopic evaluation and technique.
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