Chiong QM; Barreto SE; Catalá LLM; Pérez GM

Language: Spanish
References: 13
Page: 71-76
PDF size: 77.79 Kb.

ABSTRACT

Introduction: reverse colonic diverticulum is an unusual endoscopic finding, some authors point it out within the clinical manifestations, lower gastrointestinal bleeding, other complications are not reported unless there are errors in diagnosis leading to a biopsy, as well as endoscopic resection.
Case report: a 70 years old, male patient came to the consultation by presenting a picture of abdominal pain on the left side from several months ago, with periods of improvement and relapses. As accompanying symptoms developed fever of unknown cause which improved with antipyretics, as well as constipation for over five years, taking laxatives regularly. In addition, he presented stools with blood striae more than once. In the physical examination was found pain in left side to the deep palpation and slightly hypocolored mucus.
Conclusions: considering the said features and the presence of multiple diverticular images, it was concluded as: diverticular disease of colon with presence of reverse colonic diverticulum, unusual mode exceptionally presented in some patients.

REFERENCES

1. Saenz R, Kinney T P, Santander R, Yazigi R, Navarrete C, Gobelet J, et al. The Latin American OMGE/OMED Gastrointestinal Endoscopy Training Center. Gastroenterol Hepatol. 2008; 31(5):285-8.

2. Quintela C, Tinto R, Rio R, Silva J. Divertículo Invertido Do Colon. J Port Gastrenterol. 2009; 14(5):246-9.

3. Triadafilopulos G. Inverted colonia diverticulum. New Eng J Med. 2009; 341(11):1508-10.

4. Merino RC, Kinney T, Santander R. Inverted colonic diverticulum: an infrecuent and dangerous endoscopic finding. Gastrointest Endosc. 2005; 61(5):257-60.

5. Yusuf SI, Grant C. Inverted colon diverticulum: a rare finding in a comon condition. Gastrointest Endosc. 2009; 52(1):111-5.

6. Shah AN, Mazza BR. The detection of an inverted diverticulum by colonoscopy. Gastrointest Endosc. 2008; 28(3):188-9.

7. Ott DJ, Ken RM, Gelfand DW. Colonic diverticula With stool simulating polyps. Gastrointest Endosc. 2009; 33(2):252-4.

8. Hollander E, David G. Polpust utanzo invertalt sigma diverticulum inverted sigmoid diverticulum simulating polyps. Orv Hetil. 2009; 134(6):639-40.

9. Posner R, Solomon A. Dilemma of inverted cecal diverticulum simulating a pedunculated polyp: CT appearance. Abdom Imaging. 2008; 20(5):440-1.

10. Glick SN. Inverted colonic diverticulum: air contrast barium enema findings in six cases. AJRAm J Roentgenol. 2008; 156(3):961-4.

11. Cappell M. The water jet deformation sign: a novel provocative colonoscopic maneuver to help diagnose an inverted colonic diverticulum. South Med J. 2009; 102(1):295-8.

12. Heider R, Warshauer D, Behrns K. Inverted Meckel' s diverticulum as a source of chronic gastrointestinal blood loss. Images Surg. 2009; 128(4):107-8.

13. Dujardin M, Op de Beeck, Osteaux M. Inverted Meckel' s diverticulum as a leading point por ileoileal intussuception in a adult: caso report. Abdom imaging. 2009; 27(5):563-5.