Perez Hernandez, Carlos and Younes, Islam and Elkattawy, Sherif and Fanous, Paul and Gonzalez Aponte, Daphne and Makanay, Omar and Naik, Arun (2022) A Rare Presentation of Recurrent Diverticulitis in a Patient with Ulcerative Colitis. European Journal of Case Reports in Internal Medicine, 9 (4). pp. 1-3. ISSN 2284-2594
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Abstract
Diverticulitis and ulcerative colitis (UC) are two separate colonic pathologies with different underlying mechanisms. Diverticulosis involves herniation of mucosal and submucosal tissue through muscular tissue in response to increased intraluminal pressure. In contrast, it is believed that the muscular tone in patients with UC is reduced due to chronic inflammatory changes. Thus, it has been reported that there may be an inverse relationship between the presence of diverticulosis in patients with UC, in that UC may possibly be protective against developing diverticular disease. Consequently, the co-presence of both pathologies is uncommon. Here we present a case in which a woman with a history of UC and recurrent diverticulitis after elective partial colectomy was admitted for recurrent acute diverticulitis. It is quite challenging to diagnose diverticulitis in ulcerative colitis patients given the usually similar presentation with abdominal pain, diarrhoea and hematochezia. A level of high suspicion is required for diagnosis.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Colonic diverticulitis, ulcerative colitis |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 06 May 2022 09:37 |
| Last Modified: | 06 May 2022 09:37 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21865 |
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