Unusual phenomenon-“polyp”arising from a diverticulum:A case report
作者机构：Yong Loo Lin School of MedicineNational University of SingaporeSingapore 117597Singapore Colorectal ServiceDepartment of General SurgerySengkang General HospitalSingapore 544886Singapore
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2023年第11卷第13期
页 面：3070-3075页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Diverticulitis Colonoscopy Colonic polyps Colorectal cancer Diverticular perforation Case report
摘 要：BACKGROUND Sealed perforation of colonic diverticulum is a common clinical condition and may be differentiated from an underlying malignant perforation using interval *** present an uncommon colonoscopy finding of a healed diverticular perforation,mimicking a polyp,6 wk post-diverticulitis-something that has not been reported in *** aim to shed light on the likely process that resulted in the trompe l oeil after *** also introduces the possibility of more targeted colonic resection in the event of a similar *** SUMMARY A middle-aged Chinese female presented with a 3-d history of non-colicky left iliac fossa *** was associated with fever(Tmax 37.6℃),non-bloody diarrhoea and non-bloody,non-bilious *** had a history of Type 2 diabetes mellitus,well controlled on *** was noted on the left iliac fossa region with no guarding or *** white cell count(11.45×10^(9)/L)and C-reactive protein levels(213.9 mg/L)were *** tomography imaging of the abdomen revealed pericolonic fat stranding and extraluminal air pockets fluid density with peritoneal thickening at the sigmoid colon,likely representing a sealed *** weeks after the episode,she underwent a follow-up *** exophytic polypoid lesion closely associated with a diverticulum was seen in the sigmoid *** lesion was easily“pinchedoff without much effort using endoscopic forceps and sent for histology which revealed granulation tissue suggesting a healed diverticular *** Granulation tissue associated with healed diverticular perforations resemble *** around these sites may allow for future targeted colonic resections.
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