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Unusual phenomenon-“polyp”arising from a diverticulum:A case report

World Journal of Clinical Cases 2023年第13期11卷 3070-3075页

作者： Jacqueline Jin Li Liew Wei Shyann Lim Frederick H Koh Yong Loo Lin School of Medicine National University of SingaporeSingapore 117597Singapore Colorectal Service Department of General SurgerySengkang General HospitalSingapore 544886Singapore

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“pinched”off 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.

关键词： Diverticulitis Colonoscopy Colonic polyps Colorectal cancer diverticular perforation Case report

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